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General NPI Number Information
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NPI Number | 1093580458
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Entity Type | Organization
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Legal Business Name | BACK TO ME: PHYSICAL THERAPY & COACHING LLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 8599 A C SKINNER PKWY UNIT 5215
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0863
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Country | US
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Telephone | 717-307-5029
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Fax |
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Provider Business Mailing Address
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Address Line | 8599 A C SKINNER PKWY UNIT 5215
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City | JACKSONVILLE
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State | FL
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Zip | 32256-0863
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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 | CEO
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Name | KATHRYN MONTGOMERY
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Credential |
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Telephone | 717-307-5029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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