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General NPI Number Information
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NPI Number | 1437188356
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE THERAPY AND REHABILITATION INC
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 01/10/2018
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Provider Practice Location Address
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Address Line | 5023 RINGWOOD MDW
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City | SARASOTA
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State | FL
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Zip | 34235-2035
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Country | US
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Telephone | 941-360-9706
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Fax | 941-360-8032
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Provider Business Mailing Address
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Address Line | 8913 BERNBERRY ST
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City | SARASOTA
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State | FL
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Zip | 34240-8309
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Country | US
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Telephone | 941-350-0006
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Fax | 941-379-8684
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. LAWRENCE A BERTOLINO
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Credential | P.T., MTC
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Telephone | 941-360-9706
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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 | PT20421
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License Number State | FL
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