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General NPI Number Information
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NPI Number | 1174294557
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Entity Type | Organization
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Legal Business Name | HOMEBODY THERAPY AND WELLNESS, LLC
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 09/24/2021
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Provider Practice Location Address
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Address Line | 1530 CANTERBURY LN
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City | BERWYN
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State | PA
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Zip | 19312-1957
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Country | US
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Telephone | 302-299-6334
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Fax |
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Provider Business Mailing Address
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Address Line | 1530 CANTERBURY LN
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City | BERWYN
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State | PA
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Zip | 19312-1957
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Country | US
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Telephone | 302-299-6334
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA SCHWARCZ
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Credential | DPT
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Telephone | 302-299-6334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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