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General NPI Number Information
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NPI Number | 1275118952
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Entity Type | Organization
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Legal Business Name | ALIGN PHYSICAL THERAPY & WELLNESS, LLC
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Dates
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Enumeration Date | 03/14/2021
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Last Update Date | 03/15/2021
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Provider Practice Location Address
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Address Line | 165 MAIN ST
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City | MEDWAY
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State | MA
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Zip | 02053-1584
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Country | US
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Telephone | 617-759-8444
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Fax |
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Provider Business Mailing Address
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Address Line | 17 STABLE WAY
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City | MEDWAY
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State | MA
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Zip | 02053-6126
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Country | US
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Telephone | 617-759-8444
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LEAH HULTSTROM
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Credential | PT, DPT
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Telephone | 617-759-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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