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General NPI Number Information
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NPI Number | 1538493226
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Entity Type | Organization
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Legal Business Name | PLAYTIME PEDIATRIC THERAPY SERVICES
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | 70 BIRCH ALY BLDG B SUITE 240
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City | DAYTON
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State | OH
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Zip | 45440-1479
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Country | US
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Telephone | 513-377-1449
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 MIDDY DR
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City | DAYTON
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State | OH
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Zip | 45433-1320
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Country | US
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Telephone |
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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 | MICHELE RIECHMAN
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Credential | PT
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Telephone | 513-377-1449
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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 | PT 012206
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License Number State | OH
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