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General NPI Number Information
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NPI Number | 1245325497
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY AND REHABILITATION CENTER
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 979 CALLE YABOA REAL URB. COUNTRY CLUB
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City | SAN JUAN
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State | PR
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Zip | 00924-3350
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Country | US
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Telephone | 787-750-6725
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Fax | 787-750-6725
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Provider Business Mailing Address
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Address Line | 979 CALLE YABOA REAL URB. COUNTRY CLUB
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City | SAN JUAN
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State | PR
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Zip | 00924-3350
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Country | US
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Telephone | 787-750-6725
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Fax | 787-750-6725
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/ ADMINISTRATOR
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Name | MRS. LOURDES PETRILLI
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Credential | RPT
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Telephone | 787-750-6725
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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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