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General NPI Number Information
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NPI Number | 1437559580
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY CORPORATION
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Dates
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Enumeration Date | 08/26/2014
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Last Update Date | 08/26/2014
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Provider Practice Location Address
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Address Line | 4924 CAMPBELL BLVD SUITE 130A
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City | NOTTINGHAM
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State | MD
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Zip | 21236-5908
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Country | US
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Telephone | 610-884-4814
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Fax |
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Provider Business Mailing Address
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Address Line | 4924 CAMPBELL BLVD SUITE 130A
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City | NOTTINGHAM
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State | MD
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Zip | 21236-5908
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Country | US
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Telephone | 610-884-4814
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Fax |
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Authorized Official
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Title or Position | HR
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Name | PAM RICE
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Credential |
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Telephone | 610-644-7824
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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 | 21190
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License Number State | MD
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