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General NPI Number Information
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NPI Number | 1427118777
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Entity Type | Organization
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Legal Business Name | FREDERICK PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 12/09/2006
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 198 THOMAS JOHNSON DR STE 4
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City | FREDERICK
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State | MD
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Zip | 21702-4447
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Country | US
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Telephone | 301-631-5300
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Fax | 301-631-5301
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Provider Business Mailing Address
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Address Line | 198 THOMAS JOHNSON DR STE 4
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City | FREDERICK
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State | MD
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Zip | 21702-4447
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Country | US
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Telephone | 301-631-5300
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Fax | 301-631-5301
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. MICHAEL GERARD SCHMITT
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Credential | PT
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Telephone | 301-631-5300
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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 | 17700
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License Number State | MD
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