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General NPI Number Information
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NPI Number | 1548643372
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Entity Type | Organization
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Legal Business Name | PT 2 U, LLC
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 09/07/2021
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Provider Practice Location Address
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Address Line | 10867 DUVAL CIR
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City | KALAMAZOO
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State | MI
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Zip | 49009-6263
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Country | US
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Telephone | 619-851-4426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 351
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City | MATTAWAN
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State | MI
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Zip | 49071-0351
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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 | OWNER
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Name | CHRISTINE ANN MCINTYRE
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Credential | PT
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Telephone | 619-851-4426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage 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 | 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 #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501011193
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License Number State | MI
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