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General NPI Number Information
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NPI Number | 1336168509
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES INC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 9724 COMMERCE CENTER CT
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City | FORT MYERS
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State | FL
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Zip | 33908-3608
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Country | US
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Telephone | 239-481-3432
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Fax |
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Provider Business Mailing Address
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Address Line | 3000 E FLETCHER AVE STE 210
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City | TAMPA
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State | FL
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Zip | 33613-4644
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Country | US
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Telephone | 813-514-9641
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Fax |
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Authorized Official
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Title or Position | SR. GROUP BUSINESS MANAGER
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Name | MELISSA PHILBECK
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Credential |
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Telephone | 813-514-9641
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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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