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General NPI Number Information
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NPI Number | 1033361985
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Entity Type | Organization
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Legal Business Name | P.T. WORKS, INC
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 10/22/2008
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Provider Practice Location Address
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Address Line | 28815 W. EIGHT MILE ROAD STE 105
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City | LIVONIA
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State | MI
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Zip | 48152
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Country | US
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Telephone | 248-442-7718
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Fax | 248-442-7921
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Provider Business Mailing Address
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Address Line | 28815 W. EIGHT MILE ROAD STE 105
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City | LIVONIA
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State | MI
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Zip | 48152
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Country | US
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Telephone | 248-442-7718
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Fax | 248-442-7921
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Authorized Official
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Title or Position | REGISTERED PHYSICAL THERAPIST
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Name | MS. PREETI S JHA
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Credential | PHYSICAL THERAPIST M
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Telephone | 248-442-7718
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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 | PJ013578
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License Number State | MI
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