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General NPI Number Information
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NPI Number | 1093329237
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Entity Type | Organization
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Legal Business Name | TWO RIVERS PHYSICAL THERAPY AND WELLNESS, INC.
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Dates
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Enumeration Date | 09/04/2020
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 609 NORTH AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-7531
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Country | US
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Telephone | 970-260-8326
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Fax |
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Provider Business Mailing Address
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Address Line | 609 NORTH AVE
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City | GRAND JUNCTION
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State | CO
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Zip | 81501-7531
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Country | US
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Telephone | 970-260-8326
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINE CARR
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Credential |
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Telephone | 970-260-8326
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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