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General NPI Number Information
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NPI Number | 1316920366
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Entity Type | Organization
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Legal Business Name | MOTOR-VATIONS THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5047 DUNSHA RD
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City | MEDINA
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State | OH
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Zip | 44256-8483
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Country | US
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Telephone | 330-239-4491
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Fax |
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Provider Business Mailing Address
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Address Line | 5047 DUNSHA RD
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City | MEDINA
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State | OH
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Zip | 44256-8483
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Country | US
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Telephone | 330-239-4491
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | KELLIE SHURDEN
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Credential | PT
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Telephone | 330-239-4491
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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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