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General NPI Number Information
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NPI Number | 1538828389
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Entity Type | Organization
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Legal Business Name | PERSONAL TOUCH THERAPY AND WELLNESS
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 03/09/2022
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Provider Practice Location Address
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Address Line | 3321 DEL PRADO BLVD S STE 3
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City | CAPE CORAL
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State | FL
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Zip | 33904-7263
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Country | US
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Telephone | 239-230-2490
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Fax | 239-984-8859
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Provider Business Mailing Address
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Address Line | 5820 HARBORAGE DR
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City | FORT MYERS
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State | FL
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Zip | 33908-4549
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Country | US
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Telephone | 239-822-9498
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DEXTER PENARANDA
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Credential | PT
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Telephone | 239-822-9498
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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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