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General NPI Number Information
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NPI Number | 1184852493
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Entity Type | Organization
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Legal Business Name | AK THERAPY INC
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 2900 W. AZEELE STREET UNIT E
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City | TAMPA
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State | FL
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Zip | 33609
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Country | US
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Telephone | 727-637-6137
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Fax | 727-388-9640
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Provider Business Mailing Address
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Address Line | 2900 W. AZEELE STREET UNIT E
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City | TAMPA
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State | FL
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Zip | 33609
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Country | US
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Telephone | 727-637-6137
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Fax | 727-388-9640
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA KOTOLSKI
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Credential | PH.D., OTR/L
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Telephone | 727-637-6137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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