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General NPI Number Information
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NPI Number | 1326059346
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL PHYSICAL THERAPY SERVICES LLC
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 940 BUENA VISTA ST
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City | AMARILLO
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State | TX
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Zip | 79106-4309
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Country | US
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Telephone | 806-358-7474
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Fax | 806-355-1587
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Provider Business Mailing Address
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Address Line | 940 BUENA VISTA ST
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City | AMARILLO
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State | TX
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Zip | 79106-4309
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Country | US
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Telephone | 806-358-7474
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Fax | 806-358-7575
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Authorized Official
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Title or Position | BUSINESS OFFICE
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Name | MISS VICTORIA PEREZ
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Credential |
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Telephone | 806-353-6544
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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 | 657350000
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License Number State | TX
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