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General NPI Number Information
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NPI Number | 1043021926
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Entity Type | Organization
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Legal Business Name | ON THE MOVE PT & WELLNESS LLC
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Dates
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Enumeration Date | 01/18/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 637 TIFFANY TRL
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City | RICHARDSON
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State | TX
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Zip | 75081-5619
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Country | US
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Telephone | 214-699-9238
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Fax |
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Provider Business Mailing Address
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Address Line | 637 TIFFANY TRL
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City | RICHARDSON
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State | TX
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Zip | 75081-5619
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Country | US
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Telephone | 214-699-9238
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | CARLY NICOLE THOMPSON
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Credential | PT, DPT
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Telephone | 812-243-0646
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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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