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General NPI Number Information
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NPI Number | 1083016661
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Entity Type | Organization
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Legal Business Name | REBOUND PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 09/25/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 185 KISCO AVE SUITE 203
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1409
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Country | US
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Telephone | 914-241-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 11 EAST PL
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3605
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Country | US
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Telephone | 914-238-5603
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER/THERAPIST
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Name | MR. ADAM PLISKOW
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Credential | PT
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Telephone | 917-751-7536
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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 | 025194
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License Number State | NY
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