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General NPI Number Information
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NPI Number | 1326695461
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Entity Type | Organization
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Legal Business Name | ONE STOP PHYSICAL THERAPY, WELLNESS AND HOME SAFETY LLC
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 3694 LAKE RABUN CT
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City | BUFORD
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State | GA
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Zip | 30519-3786
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Country | US
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Telephone | 770-316-2397
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 HAMILTON MILL RD STE 102-271
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City | BUFORD
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State | GA
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Zip | 30519-4080
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Country | US
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Telephone | 770-842-0457
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | WALTER KALENIK
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Credential | PT
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Telephone | 770-316-2397
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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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