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General NPI Number Information
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NPI Number | 1497471544
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTHWORKS PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 1327 KING AVE
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City | COLUMBUS
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State | OH
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Zip | 43212-2220
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Country | US
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Telephone | 502-609-4289
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Fax |
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Provider Business Mailing Address
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Address Line | 1327 KING AVE
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City | COLUMBUS
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State | OH
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Zip | 43212-2220
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Country | US
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Telephone | 502-609-4289
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | BENNETT GATTO
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Credential | DPT
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Telephone | 502-609-4289
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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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