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General NPI Number Information
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NPI Number | 1083203400
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Entity Type | Organization
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Legal Business Name | GRAND RAPIDS PHYSICAL THERAPY & PERFORMANCE
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 1236 PLYMOUTH AVE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-5641
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Country | US
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Telephone | 989-780-2748
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Fax |
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Provider Business Mailing Address
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Address Line | 1236 PLYMOUTH AVE NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-5641
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PT
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Name | JOSEPH HANISKO
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Credential | DPT
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Telephone | 989-780-2748
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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