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General NPI Number Information
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NPI Number | 1124178801
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2802 GARTH RD STE 109
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City | BAYTOWN
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State | TX
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Zip | 77521-3924
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Country | US
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Telephone | 832-556-7750
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Fax | 832-556-0841
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Provider Business Mailing Address
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Address Line | 2802 GARTH RD STE 109
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City | BAYTOWN
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State | TX
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Zip | 77521-3924
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Country | US
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Telephone | 832-556-7750
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Fax | 832-556-0841
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | JEFF JEFFERSON
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Credential | P.T.
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Telephone | 832-556-7750
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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 | TX
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