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General NPI Number Information
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NPI Number | 1972121317
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Entity Type | Organization
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Legal Business Name | MOVING THROUGH LIFE THERAPY SOLUTIONS PLLC
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 2016 S 24TH AVE
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City | BROADVIEW
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State | IL
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Zip | 60155-2822
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Country | US
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Telephone | 708-202-9850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6064
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City | BROADVIEW
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State | IL
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Zip | 60155
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Country | US
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Telephone | 708-202-9850
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Fax |
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Authorized Official
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Title or Position | OWNER/SINGLE MEMBER
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Name | MICHELLE CANTAVE
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Credential | DPT
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Telephone | 708-202-9850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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