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General NPI Number Information
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NPI Number | 1508206582
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Entity Type | Organization
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Legal Business Name | PHYSIOTRAINING SERVICES INC
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Dates
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Enumeration Date | 07/05/2013
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Last Update Date | 07/25/2013
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Provider Practice Location Address
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Address Line | 2240 SW 70TH AVE STE C1
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City | DAVIE
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State | FL
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Zip | 33317-7112
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Country | US
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Telephone | 754-581-1605
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 NW 99TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-4350
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Country | US
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Telephone | 754-245-7842
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRISTIANE SALDANHA TIMOTEO
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Credential | PTA
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Telephone | 754-245-7842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | PTA 19117
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License Number State | FL
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