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General NPI Number Information
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NPI Number | 1174540934
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY PROFESSIONALS & ASSOCIATES, INC.
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 1 FLORIDA PARK DR N STE 110
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City | PALM COAST
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State | FL
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Zip | 32137-3844
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Country | US
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Telephone | 386-447-7824
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Fax | 386-447-7864
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Provider Business Mailing Address
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Address Line | 1 FLORIDA PARK DR N STE 110
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City | PALM COAST
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State | FL
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Zip | 32137-3844
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Country | US
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Telephone | 386-447-7824
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Fax | 386-447-7864
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Authorized Official
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Title or Position | PT/PRESIDENT
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Name | MISS EMELDA C. DINOPOL
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Credential | PT
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Telephone | 386-447-7824
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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 | PT10906
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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