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General NPI Number Information
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NPI Number | 1033730759
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Entity Type | Organization
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Legal Business Name | MOTION PHYSICAL MEDICINE & WELLNESS, PLLC
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 07/29/2020
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Provider Practice Location Address
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Address Line | 15415 MUESCHKE RD STE C
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City | CYPRESS
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State | TX
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Zip | 77433-1488
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Country | US
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Telephone | 281-241-7312
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Fax |
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Provider Business Mailing Address
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Address Line | 13100 WORTHAM CENTER DR FL 3
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City | HOUSTON
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State | TX
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Zip | 77065-5625
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Country | US
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Telephone | 713-822-3238
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PRINICIPAL
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Name | DR. OKON ANTIA
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Credential | PT
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Telephone | 281-241-7312
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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 |
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License Number State |
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