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General NPI Number Information
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NPI Number | 1972800639
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Entity Type | Organization
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Legal Business Name | TREEHOUSE THERAPIES, LLC
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Dates
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Enumeration Date | 02/16/2011
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Last Update Date | 03/31/2020
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Provider Practice Location Address
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Address Line | 24 HOLLYWOOD BLVD SW UNIT 7
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4893
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Country | US
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Telephone | 850-226-7411
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Fax | 850-226-7496
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Provider Business Mailing Address
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Address Line | 24 HOLLYWOOD BLVD SW UNIT 7
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4893
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Country | US
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Telephone | 850-226-7411
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Fax | 850-226-7496
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | TINA MARIE STEWART
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Credential |
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Telephone | 850-226-7411
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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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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 | 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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