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General NPI Number Information
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NPI Number | 1205700325
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Entity Type | Organization
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Legal Business Name | STRONG STRIDE PHYSICAL THERAPY & PERFORMANCE
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 8416 BELLHAVEN BLVD
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City | CHARLOTTE
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State | NC
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Zip | 28216-6103
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Country | US
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Telephone | 716-499-5341
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Fax |
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Provider Business Mailing Address
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Address Line | 635 SENTINEL OAK LN
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City | CHARLOTTE
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State | NC
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Zip | 28214-8203
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Country | US
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Telephone | 716-499-5341
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIN KOENKE
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Credential | PT, DPT
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Telephone | 716-499-5341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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