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NPI 1558417980

NPI 1558417980 : NEWTOWN PHYSICAL THERAPY & REHABILITATION, INC. : NEWTOWN, PA

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General NPI Number Information
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    NPI Number           |    1558417980
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEWTOWN PHYSICAL THERAPY & REHABILITATION, INC. 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    03/04/2010
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Provider Practice Location Address
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    Address Line         |    770 NEWTOWN YARDLEY RD SUITE 210
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    City                 |    NEWTOWN
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    State                |    PA
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    Zip                  |    18940-1748
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    Country              |    US
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    Telephone            |    215-860-7031
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    Fax                  |    215-860-5704
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Provider Business Mailing Address
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    Address Line         |    770 NEWTOWN YARDLEY RD SUITE 210
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    City                 |    NEWTOWN
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    State                |    PA
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    Zip                  |    18940-1748
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    Country              |    US
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    Telephone            |    215-860-7031
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    Fax                  |    215-860-5704
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JAMES M BANIEWICZ 
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    Credential           |    PT
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    Telephone            |    215-860-7031
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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       |    PT-7232-L
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    License Number State |    PA
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