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General NPI Number Information
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NPI Number | 1538265152
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Entity Type | Organization
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Legal Business Name | THOMAS CENTER FOR PHYSICAL THERAPY
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 2570 W INTERNATIONAL SPEEDWAY BLVD SUITE 110
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-8145
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Country | US
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Telephone | 386-257-2672
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Fax | 386-252-1005
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Provider Business Mailing Address
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Address Line | 2570 W INTERNATIONAL SPEEDWAY BLVD SUITE 110
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-8145
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Country | US
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Telephone | 386-257-2672
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Fax | 386-252-1005
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | TINAMARIE SCHULTZ
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Credential |
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Telephone | 386-257-2672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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