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General NPI Number Information
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NPI Number | 1184168197
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Entity Type | Organization
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Legal Business Name | COMPLETE PHYSICAL THERAPY & WELLNESS, LLC
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 960 SOUTH ST
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City | FITCHBURG
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State | MA
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Zip | 01420-7037
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Country | US
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Telephone | 978-549-0837
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Fax |
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Provider Business Mailing Address
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Address Line | 60 AVON ST
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City | LEOMINSTER
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State | MA
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Zip | 01453-4638
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Country | US
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Telephone | 978-549-0837
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Fax |
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Authorized Official
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Title or Position | RESIDENT AGENT
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Name | MRS. THERESA LOUISE BRASSARD
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Credential | PT
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Telephone | 978-549-0837
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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 | 7179
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License Number State | MA
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