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General NPI Number Information
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NPI Number | 1528861671
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Entity Type | Organization
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Legal Business Name | REBUILD PT & PERFORMANCE
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 207 CAMBRIDGE ST # C
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City | BURLINGTON
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State | MA
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Zip | 01803-2538
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Country | US
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Telephone | 508-251-9098
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Fax |
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Provider Business Mailing Address
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Address Line | 409 BELGRADE AVE # 1
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City | WEST ROXBURY
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State | MA
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Zip | 02132-1548
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Country | US
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Telephone | 774-571-5392
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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 | TAYLOR DOWNIE
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Credential |
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Telephone | 508-251-9098
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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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