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General NPI Number Information
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NPI Number | 1295874337
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Entity Type | Organization
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Legal Business Name | MOBILE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7119 E SHEA BLVD #586
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6107
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Country | US
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Telephone | 602-369-7423
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Fax |
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Provider Business Mailing Address
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Address Line | 7119 E SHEA BLVD #586
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-6107
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Country | US
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Telephone | 602-369-7423
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF MPT, INC.
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Name | MRS. PAULETTE ELIZABETH FEARING
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Credential | P.T.
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Telephone | 602-369-7423
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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 | 3165
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License Number State | AZ
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