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General NPI Number Information
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NPI Number | 1346407913
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Entity Type | Organization
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Legal Business Name | PRO THERAPY SERVICES INC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 6500 MAYTREE CIR
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City | FORT MYERS
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State | FL
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Zip | 33905-8603
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Country | US
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Telephone | 239-464-0491
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 MAYTREE CIR
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City | FORT MYERS
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State | FL
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Zip | 33905-8603
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Country | US
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Telephone | 239-464-0491
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. AUREA P. REYES
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Credential | P.T.
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Telephone | 239-464-0491
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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 | PT16830
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License Number State | FL
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