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General NPI Number Information
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NPI Number | 1902760978
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Entity Type | Organization
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Legal Business Name | OT ON THE FARM, LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 4745 8TH ST
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City | CALEDONIA
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State | MI
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Zip | 49316-9201
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Country | US
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Telephone | 616-581-1885
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Fax |
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Provider Business Mailing Address
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Address Line | 4745 8TH ST
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City | CALEDONIA
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State | MI
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Zip | 49316-9201
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Country | US
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Telephone | 616-581-1885
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CARA MASSELINK
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Credential | PHD,OTR/L, ATP, HPCS
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Telephone | 616-581-1885
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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 |
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License Number State |
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