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General NPI Number Information
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NPI Number | 1245805654
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Entity Type | Organization
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Legal Business Name | PERFORMANCE AND RECOVERY PHYSICAL THERAPY
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 1719 TIMBER RIDGE DR
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City | AUSTIN
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State | TX
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Zip | 78741-5542
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Country | US
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Telephone | 562-896-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 1719 TIMBER RIDGE DR
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City | AUSTIN
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State | TX
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Zip | 78741-5542
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Country | US
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Telephone | 562-896-7250
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MR. PATRICK M REETZ
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Credential | PT, MPT, NCS
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Telephone | 562-896-7250
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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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