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NPI 1053470187

NPI 1053470187 : HANDS ON PHYSICAL THERAPY PC : ALBUQUERQUE, NM

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General NPI Number Information
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    NPI Number           |    1053470187
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    Entity Type          |    Organization 
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    Legal Business Name  |    HANDS ON PHYSICAL THERAPY PC 
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Dates
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    Enumeration Date     |    12/06/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    9201 MONTGOMERY BLVD NE SUITE 302
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87111-2468
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    Country              |    US
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    Telephone            |    505-293-6262
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    Fax                  |    505-293-6622
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Provider Business Mailing Address
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    Address Line         |    9201 MONTGOMERY BLVD NE SUITE 302
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    City                 |    ALBUQUERQUE
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    State                |    NM
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    Zip                  |    87111-2468
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    Country              |    US
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    Telephone            |    505-293-6262
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    Fax                  |    505-293-6622
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LINDA  MCCLANAHAN 
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    Credential           |    P.T.
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    Telephone            |    505-293-6262
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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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