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General NPI Number Information
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NPI Number | 1417093634
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Entity Type | Organization
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Legal Business Name | RIVERSIDE PHYSICAL THERAPY, LTD.
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 12/16/2008
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Provider Practice Location Address
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Address Line | 231 MILL ST
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City | BRISTOL
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State | PA
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Zip | 19007-4808
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Country | US
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Telephone | 215-781-6973
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Fax | 215-781-6974
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Provider Business Mailing Address
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Address Line | 231 MILL ST P.O. BOX 569
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City | BRISTOL
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State | PA
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Zip | 19007-4808
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Country | US
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Telephone | 215-781-6973
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Fax | 215-781-6974
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH C TOMASETTI
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Credential | M.P.T.
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Telephone | 215-781-6973
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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