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General NPI Number Information
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NPI Number | 1477337129
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Entity Type | Organization
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Legal Business Name | QUALLS PHYSICAL THERAPY & WELLNESS, PLLC
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 8751 COLLIN MCKINNEY PKWY STE 1102
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City | MCKINNEY
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State | TX
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Zip | 75070-1872
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Country | US
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Telephone | 940-230-6394
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Fax |
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Provider Business Mailing Address
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Address Line | 8751 COLLIN MCKINNEY PKWY STE 1102
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City | MCKINNEY
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State | TX
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Zip | 75070-1872
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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 | DOCTOR OF PHYSICAL THERAPY
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Name | DR. KRISTEN QUALLS
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Credential | PT, DPT
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Telephone | 940-230-6394
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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