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General NPI Number Information
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NPI Number | 1356142434
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Entity Type | Organization
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Legal Business Name | RESILIENCE PHYSICAL THERAPY & PILATES, LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 169 W CLARKSTON RD STE 600
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City | LAKE ORION
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State | MI
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Zip | 48362-2980
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Country | US
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Telephone | 248-302-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 1041 WALLOON CT
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City | LAKE ORION
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State | MI
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Zip | 48360-1325
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Country | US
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Telephone | 248-302-4264
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CECILY CIARAMITARO
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Credential | DPT
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Telephone | 248-302-4264
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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 |
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License Number State |
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