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NPI 1255300190

NPI 1255300190 : ASHLAND PHYSICAL THERAPY ASSOCIATES INC : ASHLAND, VA

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General NPI Number Information
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    NPI Number           |    1255300190
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASHLAND PHYSICAL THERAPY ASSOCIATES INC 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    09/20/2019
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Provider Practice Location Address
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    Address Line         |    203 N WASHINGTON HWY 
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    City                 |    ASHLAND
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    State                |    VA
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    Zip                  |    23005-1623
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    Country              |    US
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    Telephone            |    804-340-1193
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    Fax                  |    804-340-1930
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Provider Business Mailing Address
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    Address Line         |    203 N WASHINGTON HWY 
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    City                 |    ASHLAND
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    State                |    VA
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    Zip                  |    23005-1623
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    Country              |    US
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    Telephone            |    804-798-1112
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    Fax                  |    804-798-1171
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MS. ANTOINETTE  FIELDS 
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    Credential           |    
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    Telephone            |    804-798-1112
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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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