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General NPI Number Information
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NPI Number | 1225140411
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 215 S 2ND ST STE 10
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City | RIVER FALLS
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State | WI
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Zip | 54022-2403
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Country | US
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Telephone | 715-426-7878
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Fax | 715-426-7852
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Provider Business Mailing Address
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Address Line | 215 S 2ND ST STE 10
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City | RIVER FALLS
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State | WI
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Zip | 54022-2403
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Country | US
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Telephone | 715-426-7878
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Fax | 715-426-7852
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEBRA J ROTSAERT
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Credential |
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Telephone | 715-426-7878
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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 |
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License Number State | WI
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Taxonomy #2
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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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