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General NPI Number Information
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NPI Number | 1952746448
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Entity Type | Organization
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Legal Business Name | BETTER YOURSELF REHABILITATION PHYSICAL AND OCCUPATIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 05/09/2013
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 455 N END AVE BSMT
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City | NEW YORK
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State | NY
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Zip | 10282-1131
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Country | US
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Telephone | 646-470-8615
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Fax |
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Provider Business Mailing Address
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Address Line | 485 CENTRAL PARK W APT 3F
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City | NEW YORK
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State | NY
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Zip | 10025-3360
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Country | US
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Telephone | 646-470-8615
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KYLE WARNER
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Credential |
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Telephone | 646-470-8615
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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 | 017303
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 025701
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License Number State | NY
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