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General NPI Number Information
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NPI Number | 1235593310
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Entity Type | Organization
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Legal Business Name | HANDS ON PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 2276 1ST AVE NE
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City | ATLANTA
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State | GA
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Zip | 30317-1430
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Country | US
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Telephone | 770-380-8283
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Fax |
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Provider Business Mailing Address
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Address Line | 2276 1ST AVE NE
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City | ATLANTA
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State | GA
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Zip | 30317-1430
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Country | US
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Telephone | 770-380-8283
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Fax |
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Authorized Official
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Title or Position | CEO/PHYSICAL THERAPIST
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Name | DR. JURINE H. OWEN
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Credential | PT, PH.D
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Telephone | 770-380-8283
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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 | PT006496
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License Number State | GA
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