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General NPI Number Information
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NPI Number | 1366673709
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Entity Type | Organization
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Legal Business Name | ONSITE THERAPY RESOURCES LLC
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Dates
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Enumeration Date | 08/03/2009
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Last Update Date | 08/03/2009
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Provider Practice Location Address
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Address Line | 839 FORTUNEGATE DR
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City | WESTERVILLE
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State | OH
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Zip | 43081-3521
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Country | US
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Telephone | 614-890-3676
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Fax | 614-890-2953
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Provider Business Mailing Address
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Address Line | PO BOX 144
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City | WESTERVILLE
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State | OH
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Zip | 43086-0144
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Country | US
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Telephone | 614-890-3676
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Fax | 614-890-2952
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. HEATHER LEIGH WENDELL
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Credential | PT
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Telephone | 614-890-3676
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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 | 006227
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License Number State | OH
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