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General NPI Number Information
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NPI Number | 1477362622
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Entity Type | Organization
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Legal Business Name | RESTORE & PERFORM PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 23955 FREEWAY PARK DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48335-2817
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Country | US
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Telephone | 734-259-2701
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Fax | 833-339-5998
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Provider Business Mailing Address
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Address Line | 12306 HOWLAND PARK DR
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City | PLYMOUTH
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State | MI
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Zip | 48170-2892
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Country | US
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Telephone |
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Fax | 833-339-5998
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Authorized Official
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Title or Position | OWNER
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Name | SARA SCOTT
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Credential | DPT
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Telephone | 734-259-2701
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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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