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General NPI Number Information
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NPI Number | 1902275902
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Entity Type | Organization
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Legal Business Name | REACH FOR THE STARS THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 09/20/2015
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Last Update Date | 09/20/2015
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Provider Practice Location Address
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Address Line | 7759 CEDAR HURST CT
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City | LAKE WORTH
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State | FL
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Zip | 33467-7879
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Country | US
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Telephone | 561-385-8109
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Fax | 561-433-9543
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Provider Business Mailing Address
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Address Line | 7759 CEDAR HURST CT
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City | LAKE WORTH
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State | FL
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Zip | 33467-7879
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Country | US
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Telephone | 561-385-8109
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Fax | 561-433-9543
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTINE SADECKI
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Credential | OTR/L
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Telephone | 561-385-8109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT9909
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License Number State | FL
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