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General NPI Number Information
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NPI Number | 1043602436
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Entity Type | Organization
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Legal Business Name | TRAINERS PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 368 HILTON RD
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City | FERNDALE
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State | MI
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Zip | 48220-2548
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Country | US
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Telephone | 313-799-0308
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Fax | 248-499-1215
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Provider Business Mailing Address
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Address Line | 368 HILTON RD
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City | FERNDALE
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State | MI
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Zip | 48220-2548
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Country | US
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Telephone | 313-799-0308
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Fax | 248-499-1215
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | ARISS TIFFANI PIERCE
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Credential | PT, DPT, CERT. MDT
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Telephone | 313-799-0308
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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 | 5501015283
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License Number State | MI
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