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General NPI Number Information
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NPI Number | 1467975615
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Entity Type | Organization
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Legal Business Name | MOVE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 07/19/2017
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 428 S MONROE ST STE 106
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City | MONROE
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State | MI
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Zip | 48161-2249
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Country | US
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Telephone | 734-636-0286
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Fax |
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Provider Business Mailing Address
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Address Line | 428 S MONROE ST STE 106
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City | MONROE
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State | MI
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Zip | 48161-2249
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Country | US
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Telephone | 734-636-0286
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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 | KATHERINE BACARELLA
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Credential | DPT
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Telephone | 734-636-0286
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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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Taxonomy #2
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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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