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General NPI Number Information
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NPI Number | 1235762832
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Entity Type | Organization
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Legal Business Name | ACCESSIBLE LIVING PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 2212 DUBLIN DRIVE NW
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City | OLYMPIA
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State | WA
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Zip | 98502
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Country | US
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Telephone | 360-259-2445
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Fax | 360-252-8349
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Provider Business Mailing Address
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Address Line | 1910 EAST 4TH AVE PMB 121
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City | OLYMPIA
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State | WA
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Zip | 98506
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Country | US
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Telephone | 360-259-2445
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GABRIEL GIRAUD
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Credential |
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Telephone | 360-259-2445
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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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Taxonomy #2
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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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