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General NPI Number Information
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NPI Number | 1225738164
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Entity Type | Organization
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Legal Business Name | J HEATH THERAPY LLC
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 6406 CARMEL RD STE 309
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City | CHARLOTTE
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State | NC
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Zip | 28226-8267
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Country | US
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Telephone | 704-412-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 7107 WESSYNTON DR
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City | CHARLOTTE
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State | NC
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Zip | 28226-7548
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Country | US
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Telephone | 704-426-7519
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KATRINA JONES HEATH
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Credential | DPT, PRPC,PCES
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Telephone | 704-426-7519
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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 |
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