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General NPI Number Information
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NPI Number | 1154271088
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Entity Type | Organization
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Legal Business Name | WELL BEYOND PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 938 CEDAR GREEN DR
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City | POWHATAN
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State | VA
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Zip | 23139-7962
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Country | US
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Telephone | 804-687-8621
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Fax |
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Provider Business Mailing Address
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Address Line | 938 CEDAR GREEN DR
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City | POWHATAN
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State | VA
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Zip | 23139-7962
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Country | US
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Telephone | 804-687-8621
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | JENNIFER WALLE
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Credential | PT, DPT, CMTPT
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Telephone | 804-687-8621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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