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General NPI Number Information
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NPI Number | 1306658059
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Entity Type | Organization
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Legal Business Name | BORN TO MOVE PHYSICAL THERAPY & WELLNESS, LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 8300 BLUFF SPRINGS RD APT 231
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City | AUSTIN
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State | TX
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Zip | 78744-6868
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Country | US
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Telephone | 806-928-1103
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 BLUFF SPRINGS RD APT 231
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City | AUSTIN
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State | TX
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Zip | 78744-6868
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | PRISCILLA FRYE-PATCH
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Credential | PT, DPT
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Telephone | 512-766-9128
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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