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General NPI Number Information
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NPI Number | 1225882038
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Entity Type | Organization
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Legal Business Name | IN MOTION PHYSICAL THERAPY CANANDAIGUA
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Dates
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Enumeration Date | 04/16/2024
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Last Update Date | 04/16/2024
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Provider Practice Location Address
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Address Line | 73 BUFFALO ST STE 300
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1001
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Country | US
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Telephone | 585-412-6477
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Fax |
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Provider Business Mailing Address
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Address Line | 73 BUFFALO ST STE 300
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1001
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Country | US
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Telephone | 585-412-6477
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | BROOKE MAWERY
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Credential | PT, DPT, OCS, CSCS
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Telephone | 585-412-6477
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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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