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General NPI Number Information
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NPI Number | 1497921118
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Entity Type | Organization
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Legal Business Name | THERAPY NEEDS LLC
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 2802 CRESTRIDGE CT
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City | GRAPEVINE
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State | TX
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Zip | 76051-6461
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Country | US
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Telephone | 214-929-8405
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Fax | 610-968-4493
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Provider Business Mailing Address
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Address Line | 2802 CRESTRIDGE CT
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City | GRAPEVINE
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State | TX
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Zip | 76051
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Country | US
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Telephone | 214-929-8405
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Fax | 610-968-4493
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Authorized Official
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Title or Position | DIRECTOR OF THERAPY
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Name | MICHELLE MARIE LOVE
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Credential | PT
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Telephone | 214-929-8405
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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 | 1132256
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License Number State | TX
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