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General NPI Number Information
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NPI Number | 1487710513
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Entity Type | Organization
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Legal Business Name | PALM CITY PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2684 SW IMMANUEL DR
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City | PALM CITY
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State | FL
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Zip | 34990-2738
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Country | US
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Telephone | 772-220-3444
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Fax | 772-220-3839
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Provider Business Mailing Address
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Address Line | 2684 SW IMMANUEL DR
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City | PALM CITY
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State | FL
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Zip | 34990-2738
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Country | US
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Telephone | 772-220-3444
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Fax | 772-220-3839
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. KAY KEELING DEERMAN
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Credential | PT
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Telephone | 772-220-3444
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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 | PT2232
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License Number State | FL
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