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General NPI Number Information
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NPI Number | 1356510721
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Entity Type | Organization
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Legal Business Name | ELWOOD PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 38 E 5TH AVE SUITE 180
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City | DENVER
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State | CO
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Zip | 80203-3436
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Country | US
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Telephone | 303-893-0047
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Fax | 720-570-7996
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Provider Business Mailing Address
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Address Line | 4950 S YOSEMITE ST F2 #213
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-1349
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Country | US
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Telephone | 720-244-1690
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Fax | 720-570-7996
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Authorized Official
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Title or Position | CEO
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Name | DR. KATHERINE ELIZABETH ELWOOD
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Credential | PT, DPT, CSCS
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Telephone | 720-244-1690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 8402
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License Number State | CO
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