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General NPI Number Information
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NPI Number | 1548688633
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Entity Type | Organization
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Legal Business Name | WEE LITTLE WALKERS PEDIATRIC PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 7844 S VANCE CT
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City | LITTLETON
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State | CO
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Zip | 80128-5463
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Country | US
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Telephone | 303-587-6085
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Fax |
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Provider Business Mailing Address
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Address Line | 7844 S VANCE CT
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City | LITTLETON
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State | CO
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Zip | 80128-5463
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Country | US
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Telephone | 303-587-6085
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TIFFANI TITUS
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Credential | MPT
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Telephone | 303-587-6085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PTL0006893
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License Number State | CO
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