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General NPI Number Information
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NPI Number | 1467626010
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Entity Type | Organization
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Legal Business Name | WORKSAFE PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 1999 N AMIDON AVE SUITE 100
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City | WICHITA
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State | KS
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Zip | 67203-2121
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Country | US
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Telephone | 316-262-8800
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Fax | 620-708-4022
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Provider Business Mailing Address
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Address Line | 1999 N AMIDON AVE SUITE 100
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City | WICHITA
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State | KS
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Zip | 67203-2121
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Country | US
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Telephone | 316-262-8800
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Fax | 620-708-4022
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Authorized Official
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Title or Position | CEO
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Name | NANCY G WILSON
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Credential | PT
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Telephone | 316-262-8800
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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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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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