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General NPI Number Information
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NPI Number | 1225087133
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Entity Type | Organization
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Legal Business Name | QUALITY PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 135 MAIN ST
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City | STURBRIDGE
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State | MA
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Zip | 01566-1569
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Country | US
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Telephone | 508-347-8141
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Fax | 508-347-7576
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Provider Business Mailing Address
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Address Line | 135 MAIN ST
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City | STURBRIDGE
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State | MA
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Zip | 01566-1569
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Country | US
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Telephone | 508-347-8141
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Fax | 508-347-7576
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Authorized Official
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Title or Position | OWNER
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Name | CHERYL WILBUR
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Credential | PT
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Telephone | 508-347-8141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | GROUP
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License Number State | MA
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