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General NPI Number Information
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NPI Number | 1437235108
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY OPTIONS PC
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 226 SEVENTH STREET SUITE 101
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-747-1520
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Fax | 516-747-1552
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Provider Business Mailing Address
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Address Line | 226 SEVENTH STREET SUITE 101
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City | GARDEN CITY
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State | NY
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Zip | 11530
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Country | US
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Telephone | 516-747-1520
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Fax | 516-747-1552
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Authorized Official
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Title or Position | PRESIDENT PHYSICAL THERAPIST
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Name | MRS. LISA A COORS
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Credential | PT
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Telephone | 516-747-1520
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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 | 0229111
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License Number State | NY
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