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General NPI Number Information
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NPI Number | 1053520890
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 800 CROSS POINTE RD #G
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City | GAHANNA
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State | OH
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Zip | 43230
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Country | US
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Telephone | 614-864-9247
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Fax | 614-864-9396
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Provider Business Mailing Address
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Address Line | 800 CROSS POINTE RD #G
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City | GAHANNA
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State | OH
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Zip | 43230
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Country | US
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Telephone | 614-864-9247
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Fax | 614-864-9396
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Authorized Official
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Title or Position | GROUP BUSINESS MANAGER
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Name | TRACY L DHAYER
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Credential |
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Telephone | 614-827-8727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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