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General NPI Number Information
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NPI Number | 1558030098
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Entity Type | Organization
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Legal Business Name | FIRST STEPS PEDIATRIC PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 5648 POULIN RD
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City | DULUTH
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State | MN
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Zip | 55803-9388
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Country | US
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Telephone | 218-591-8768
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Fax |
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Provider Business Mailing Address
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Address Line | 5648 POULIN RD
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City | DULUTH
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State | MN
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Zip | 55803-9388
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Country | US
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Telephone | 218-591-8768
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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 | KATIE MARIE YANKOWIAK
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Credential | DPT
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Telephone | 218-591-8768
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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 |
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License Number State |
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