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General NPI Number Information
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NPI Number | 1508301425
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Entity Type | Organization
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Legal Business Name | TOTAL WELLNESS PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 01/01/2017
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Last Update Date | 03/14/2017
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Provider Practice Location Address
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Address Line | 48 MAIN ST
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City | ADDISON
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State | NY
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Zip | 14801-1210
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Country | US
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Telephone | 607-382-0132
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Fax |
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Provider Business Mailing Address
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Address Line | 6208 SYMONDS HILL RD
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City | ADDISON
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State | NY
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Zip | 14801-9564
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Country | US
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Telephone | 607-382-0132
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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 | MRS. YVONNE C STRAUSS
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Credential | PT
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Telephone | 607-382-0132
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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 | 027505
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License Number State | NY
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