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General NPI Number Information
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NPI Number | 1396651808
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Entity Type | Organization
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Legal Business Name | UNIVERSAL PHYSICAL SPEECH & VESTIBULAR REHAB LLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 112 ORANGE AVE STE 200
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4338
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Country | US
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Telephone | 424-347-0191
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 BEVILLE RD STE 606
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-5644
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Country | US
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Telephone | 386-299-8018
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HENDRIKA REINTJES
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Credential |
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Telephone | 386-299-8018
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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