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General NPI Number Information
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NPI Number | 1912435538
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Entity Type | Organization
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Legal Business Name | TIME TO THRIVE CHILDREN'S THERAPY
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Dates
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Enumeration Date | 05/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 501 GOODLETTE-FRANK RD N STE D302
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City | NAPLES
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State | FL
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Zip | 34102-5664
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Country | US
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Telephone | 239-286-5651
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Fax | 239-315-4125
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Provider Business Mailing Address
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Address Line | 4419 ROBIN AVE
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City | NAPLES
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State | FL
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Zip | 34104-4431
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Country | US
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Telephone | 239-286-5651
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Fax | 239-315-4125
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JESSICA GARCIA
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Credential | MS, OTR/L
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Telephone | 239-285-5651
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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