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General NPI Number Information
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NPI Number | 1508578949
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Entity Type | Organization
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Legal Business Name | GAIT KEEPER PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/16/2022
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 9087 DUTTON DR
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City | TWINSBURG
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State | OH
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Zip | 44087-1930
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Country | US
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Telephone | 330-241-2100
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Fax | 330-267-4323
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Provider Business Mailing Address
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Address Line | 6438 BRONCO RD
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City | RAVENNA
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State | OH
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Zip | 44266-9174
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Country | US
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Telephone | 330-241-2100
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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 | DR. ALINA N MILLE
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Credential | PT, DPT
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Telephone | 330-241-2100
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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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