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General NPI Number Information
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NPI Number | 1104458785
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Entity Type | Organization
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Legal Business Name | OLENDER PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 316 WASHINGTON ST STE 1
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City | WELLESLEY
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State | MA
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Zip | 02481-4959
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Country | US
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Telephone | 774-556-4085
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Fax |
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Provider Business Mailing Address
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Address Line | 20 DAWES RD
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1591
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Country | US
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Telephone | 508-380-5100
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | LESLEE OLENDER
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Credential |
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Telephone | 774-556-4085
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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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