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General NPI Number Information
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NPI Number | 1033772637
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Entity Type | Organization
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Legal Business Name | HEALTHTRAX PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 04/18/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 3 WEYMOUTH RD
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City | ENFIELD
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State | CT
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Zip | 06082-6006
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Country | US
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Telephone | 413-563-7780
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Fax |
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Provider Business Mailing Address
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Address Line | 622 HEBRON AVE STE 200
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City | GLASTONBURY
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State | CT
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Zip | 06033-5003
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Country | US
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Telephone | 413-563-7780
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER / OWNER
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Name | BRIAN J FERREIRA
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Credential | MSPT
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Telephone | 413-563-7780
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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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