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General NPI Number Information
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NPI Number | 1487609681
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Entity Type | Organization
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Legal Business Name | RIDGE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 2525 W MAIN ST 1ST FLOOR
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City | NORRISTOWN
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State | PA
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Zip | 19403-6001
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Country | US
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Telephone | 610-630-8878
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Fax | 610-630-1976
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Provider Business Mailing Address
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Address Line | 2525 W MAIN ST 1ST FLOOR
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City | NORRISTOWN
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State | PA
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Zip | 19403-6001
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Country | US
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Telephone | 610-630-8878
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Fax | 610-630-1976
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | REGINA MARIE STROBEL
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Credential | MSPT
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Telephone | 610-630-8878
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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 | PT013763L
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License Number State | PA
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