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General NPI Number Information
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NPI Number | 1083711253
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Entity Type | Organization
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Legal Business Name | MONTESANO PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 01/26/2015
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Provider Practice Location Address
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Address Line | 508 E PIONEER AVE
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City | MONTESANO
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State | WA
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Zip | 98563-4606
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Country | US
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Telephone | 360-249-4185
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Fax | 360-249-4195
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Provider Business Mailing Address
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Address Line | PO BOX 559
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City | MCCLEARY
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State | WA
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Zip | 98557-0559
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Country | US
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Telephone | 360-249-4185
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Fax | 360-249-4195
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Authorized Official
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Title or Position | OWNER
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Name | JOE W ARNDT
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Credential | P.T.
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Telephone | 360-249-4185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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