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General NPI Number Information
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NPI Number | 1447578679
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Entity Type | Organization
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Legal Business Name | ORTA PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 2999 NW PLOTSKY AVE
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City | PLATTSBURG
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State | MO
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Zip | 64477-9511
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Country | US
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Telephone | 816-539-3350
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Fax |
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Provider Business Mailing Address
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Address Line | 2999 NW PLOTSKY AVE
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City | PLATTSBURG
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State | MO
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Zip | 64477-9511
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Country | US
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Telephone | 816-539-3350
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VICTOR ROBERT ORTA
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Credential | P.T.
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Telephone | 816-539-3350
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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 | 01043181
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License Number State | MO
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