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General NPI Number Information
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NPI Number | 1235380908
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Entity Type | Organization
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Legal Business Name | ONSITE PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 21125 YACHT CLUB DR
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City | AVENTURA
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State | FL
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Zip | 33180-4024
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Country | US
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Telephone | 305-936-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 21125 YACHT CLUB DR
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City | AVENTURA
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State | FL
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Zip | 33180-4024
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Country | US
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Telephone | 305-936-1170
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. LISA E GROSS-FARBER
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Credential | PT
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Telephone | 954-226-9665
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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 | PT22940
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License Number State | FL
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