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General NPI Number Information
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NPI Number | 1508426115
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Entity Type | Organization
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Legal Business Name | SENIOR PHYSICAL THERAPY OF PR, INC.
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | B1 CALLE 6 MANSIONES DE GARDEN HILLS
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-810-3853
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Fax | 787-993-6030
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Provider Business Mailing Address
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Address Line | 354 VIA SANTA CATALINA COND ALTOS REALES APT 914
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-810-3853
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Fax | 787-993-6030
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Authorized Official
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Title or Position | PRESIDENT
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Name | AYMEE PAGE
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Credential | RPT
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Telephone | 787-810-3853
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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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