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General NPI Number Information
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NPI Number | 1093803025
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Entity Type | Organization
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Legal Business Name | QUANTUM PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 1 ELIZABETH PL GRAY LEVEL, SUITE A
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City | DAYTON
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State | OH
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Zip | 45417-3445
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Country | US
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Telephone | 937-277-2077
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Fax | 937-277-1600
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Provider Business Mailing Address
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Address Line | 1 ELIZABETH PL GRAY LEVEL, SUITE A
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City | DAYTON
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State | OH
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Zip | 45417-3445
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Country | US
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Telephone | 937-277-2077
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Fax | 937-277-1600
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | ROBERT M. FRANK
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Credential | LPT
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Telephone | 937-277-2077
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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 | 2778
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License Number State | OH
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