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General NPI Number Information
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NPI Number | 1255388773
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Entity Type | Organization
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Legal Business Name | DRAYER PHYSICAL THERAPY INSTITUTE LLC
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 103 W MAPLE ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2200
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Country | US
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Telephone | 814-342-8304
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Fax | 814-342-8305
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Provider Business Mailing Address
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Address Line | 103 W MAPLE ST
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City | PHILIPSBURG
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State | PA
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Zip | 16866-2200
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Country | US
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Telephone | 814-342-8304
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Fax | 814-342-8305
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Authorized Official
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Title or Position | CEO
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Name | LUKE A DRAYER
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Credential | PT
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Telephone | 717-220-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 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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