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General NPI Number Information
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NPI Number | 1033879705
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Entity Type | Organization
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Legal Business Name | PT JOINT
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Dates
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Enumeration Date | 12/22/2021
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 205 HIRST RD STE 201
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City | PURCELLVILLE
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State | VA
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Zip | 20132-6600
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Country | US
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Telephone | 681-252-4685
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Fax |
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Provider Business Mailing Address
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Address Line | 384 MARA ROSE LN
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City | HARPERS FERRY
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State | WV
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Zip | 25425-9509
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Country | US
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Telephone | 903-944-9138
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | SEAN TIMOTHY LOOMIS
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Credential |
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Telephone | 304-774-4467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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