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NPI 1265521025

NPI 1265521025 : PHYSICAL THERAPY AND OCCUPATIONAL REHABILITATION INC : EAST LIVERPOOL, OH

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General NPI Number Information
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    NPI Number           |    1265521025
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    Entity Type          |    Organization 
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    Legal Business Name  |    PHYSICAL THERAPY AND OCCUPATIONAL REHABILITATION INC 
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Dates
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    Enumeration Date     |    10/12/2006
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    Last Update Date     |    03/10/2026
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Provider Practice Location Address
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    Address Line         |    15765 STATE ROUTE 170 
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    City                 |    EAST LIVERPOOL
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    State                |    OH
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    Zip                  |    43920-9070
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    Country              |    US
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    Telephone            |    330-386-5252
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    Fax                  |    330-386-3555
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Provider Business Mailing Address
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    Address Line         |    15765 STATE ROUTE 170 STE 2 
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    City                 |    EAST LIVERPOOL
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    State                |    OH
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    Zip                  |    43920-9600
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    Country              |    US
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    Telephone            |    330-386-5252
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    Fax                  |    330-386-3555
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. DANIEL A DURHAM 
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    Credential           |    PT
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    Telephone            |    330-386-5252
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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       |    08856
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    License Number State |    OH
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