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General NPI Number Information
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NPI Number | 1548421076
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY HEALTH CENTER
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 5312 N 36TH ST
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City | ARLINGTON
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State | VA
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Zip | 22207
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Country | US
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Telephone | 703-534-1943
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Fax | 703-241-4173
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Provider Business Mailing Address
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Address Line | 5312 N 36TH ST
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City | ARLINGTON
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State | VA
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Zip | 22207
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Country | US
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Telephone | 703-534-1943
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Fax | 703-241-4173
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KATHRYN SCHAEFER
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Credential | PT
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Telephone | 703-534-1943
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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 | 2305001308
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License Number State | VA
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