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General NPI Number Information
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NPI Number | 1972841757
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Entity Type | Organization
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Legal Business Name | ENABLING THERAPY OT LLC
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Dates
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Enumeration Date | 01/29/2013
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Last Update Date | 01/29/2013
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Provider Practice Location Address
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Address Line | 4205 FRANCIS LEWIS BLVD FL 1
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City | BAYSIDE
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State | NY
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Zip | 11361-2573
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Country | US
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Telephone | 718-888-7727
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Fax | 718-269-9558
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Provider Business Mailing Address
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Address Line | 5014 211TH ST
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City | BAYSIDE HILLS
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State | NY
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Zip | 11364-1144
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Country | US
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Telephone | 718-888-7727
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Fax | 718-269-9558
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | AMY LIU
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Credential | OTR/L, CLT, CHT
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Telephone | 718-888-7727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 0138551
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License Number State | NY
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