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General NPI Number Information
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NPI Number | 1366656282
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY 4 U INC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2961 PLACIDA RD STE 11
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City | ENGLEWOOD
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State | FL
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Zip | 34224-8525
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Country | US
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Telephone | 941-697-7737
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Fax | 941-697-1688
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Provider Business Mailing Address
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Address Line | PO BOX 1174
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City | ENGLEWOOD
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State | FL
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Zip | 34295-1174
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Country | US
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Telephone | 941-697-7737
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Fax | 941-697-1688
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Authorized Official
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Title or Position | PRESIDENT AND THERAPIST
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Name | TODD DOUGLAS BOTTENFIELD
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Credential | RPT
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Telephone | 941-697-7737
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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 | FL11482
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License Number State | FL
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