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General NPI Number Information
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NPI Number | 1275134363
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Entity Type | Organization
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Legal Business Name | TRINITY PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 703 HARLEYSVILLE PIKE
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City | LEDERACH
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State | PA
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Zip | 19450
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Country | US
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Telephone | 215-256-1991
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Fax | 215-256-1895
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Provider Business Mailing Address
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Address Line | PO BOX 396
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City | LEDERACH
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State | PA
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Zip | 19450-0396
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Country | US
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Telephone | 215-256-1991
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Fax | 215-256-1895
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN MOWRY
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Credential | PT, DPT, CFC
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Telephone | 570-575-5369
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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 |
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License Number State |
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