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General NPI Number Information
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NPI Number | 1174148183
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Entity Type | Organization
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Legal Business Name | ALPHA PHYSICAL THERAPY AND WELLNESS,LLC
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 16806 LESSELS LN
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City | RICHMOND
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State | TX
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Zip | 77407-2258
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Country | US
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Telephone | 832-941-8667
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Fax | 832-575-1400
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Provider Business Mailing Address
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Address Line | 16806 LESSELS LN
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City | RICHMOND
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State | TX
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Zip | 77407-2258
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Country | US
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Telephone | 832-941-8667
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Fax | 832-575-1400
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KAVITHA PARASUMANNA JANARTHANAA
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Credential | PT
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Telephone | 832-941-8667
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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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