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General NPI Number Information
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NPI Number | 1225527310
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Entity Type | Organization
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Legal Business Name | SCOLIOSIS THERAPY OF SAN ANTONIO, LLC
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Dates
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Enumeration Date | 05/04/2018
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 24860 BREEZE OAK
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City | SAN ANTONIO
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State | TX
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Zip | 78255-2047
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Country | US
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Telephone | 210-233-8741
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Fax |
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Provider Business Mailing Address
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Address Line | 24860 BREEZE OAK
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City | SAN ANTONIO
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State | TX
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Zip | 78255-2047
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Country | US
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Telephone | 210-233-8741
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CORINNE REYNOLDS
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Credential | P.T.
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Telephone | 210-233-8741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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