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General NPI Number Information
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NPI Number | 1447806518
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Entity Type | Organization
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Legal Business Name | AMP PHYSICAL THERAPY & PERFORMANCE
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 407 LONG FOREST CIR
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City | ANDERSON
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State | SC
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Zip | 29625-1103
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Country | US
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Telephone | 803-389-0239
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Fax |
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | ELISA TURNER
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Credential | PT, DPT
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Telephone | 803-389-0239
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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 |
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License Number State |
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