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General NPI Number Information
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NPI Number | 1497402945
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Entity Type | Organization
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Legal Business Name | INVICTUS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 100 N 20TH ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1443
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Country | US
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Telephone | 267-548-4476
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Fax | 267-548-4478
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Provider Business Mailing Address
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Address Line | 100 N 20TH ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19103-1443
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Country | US
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Telephone | 267-548-4476
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. GABRIELLE LEIGH RATHZ
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Credential | PT, DPT, OCS
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Telephone | 267-838-2163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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