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General NPI Number Information
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NPI Number | 1013939149
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Entity Type | Organization
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Legal Business Name | CLEVELAND PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 163 MAPLETON FOREST DR NW
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City | CLEVELAND
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State | TN
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Zip | 37312-6237
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Country | US
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Telephone | 423-284-5029
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Fax | 423-559-1885
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Provider Business Mailing Address
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Address Line | 163 MAPLETON FOREST DR NW
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City | CLEVELAND
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State | TN
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Zip | 37312-6237
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Country | US
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Telephone | 423-284-5029
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Fax | 423-559-1885
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | ROBBIE RUMBA LEDFORD
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Credential | P.T.
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Telephone | 423-284-5029
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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 | 2567
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License Number State | TN
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