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General NPI Number Information
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NPI Number | 1346469004
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Entity Type | Organization
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Legal Business Name | REACH PEDIATRICS THERAPY SERVICES PC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 1931 CENTRAL PKWY SW SUITE S
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City | DECATUR
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State | AL
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Zip | 35601
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Country | US
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Telephone | 256-309-0454
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Fax | 256-309-0422
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Provider Business Mailing Address
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Address Line | 1931 CENTRAL PKWY SW SUITE S
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City | DECATUR
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State | AL
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Zip | 35601
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Country | US
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Telephone | 256-309-0454
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Fax | 256-309-0422
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Authorized Official
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Title or Position | CO-OWNER
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Name | MRS. SABRINA M MODI
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Credential | DPT
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Telephone | 256-289-0882
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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 | PTH1007
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License Number State | AL
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