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General NPI Number Information
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NPI Number | 1962212449
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Entity Type | Organization
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Legal Business Name | GROW ON THE GO THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 126 WARWICK ST
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City | LAWRENCE
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State | MA
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Zip | 01841-3248
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Country | US
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Telephone | 857-891-0189
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Fax |
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Provider Business Mailing Address
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Address Line | 126 WARWICK ST
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City | LAWRENCE
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State | MA
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Zip | 01841-3248
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Country | US
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Telephone | 857-891-0189
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Fax |
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Authorized Official
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Title or Position | OWNER /OCCUPATIONAL THERAPIST
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Name | STEPHANIA JEAN-MICHEL
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Credential | OTR/L
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Telephone | 857-891-0189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational 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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing 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 | 225XH1300X
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Taxonomy Name | Human Factors 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 | 225XM0800X
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Taxonomy Name | Mental Health Occupational Therapist
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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 | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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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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