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General NPI Number Information
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NPI Number | 1477153062
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY DIRECT
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Dates
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Enumeration Date | 11/01/2020
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 25 TERRE VERTE CT
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City | SAINT CHARLES
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State | MO
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Zip | 63304-1217
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Country | US
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Telephone | 636-443-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 25 TERRE VERTE CT
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City | SAINT CHARLES
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State | MO
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Zip | 63304-1217
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Country | US
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Telephone | 636-443-5020
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. BRIAN P HU
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Credential | DPT, DMT, FAAOMPT
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Telephone | 636-443-5020
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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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