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General NPI Number Information
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NPI Number | 1184077836
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Entity Type | Organization
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Legal Business Name | WOODWARD PHYSICAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 07/18/2016
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 16746 WILLOW HILLS LN
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City | CLERMONT
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State | FL
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Zip | 34711-8729
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Country | US
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Telephone | 407-701-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 16746 WILLOW HILLS LN
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City | CLERMONT
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State | FL
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Zip | 34711-8729
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Country | US
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Telephone | 407-701-0900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER WOODWARD
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Credential | MSPT
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Telephone | 407-701-0900
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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 | 20483
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License Number State | FL
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