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General NPI Number Information
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NPI Number | 1467254169
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Entity Type | Organization
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Legal Business Name | JEM PHYSICAL THERAPY & SPORTS MEDICINE, PLLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 5462 ROGERS RD
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City | SAN ANTONIO
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State | TX
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Zip | 78251-3631
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Country | US
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Telephone | 361-522-3239
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 BREWERTON
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City | SAN ANTONIO
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State | TX
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Zip | 78253-4233
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Country | US
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Telephone | 361-522-3239
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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 | MS. MICHELE ERIN PENA
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Credential | PT
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Telephone | 361-522-3239
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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 |
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License Number State |
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