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General NPI Number Information
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NPI Number | 1578237517
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Entity Type | Organization
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Legal Business Name | FIZIOLOGIX PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 7865 NE DAY RD W STE 202
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-6212
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Country | US
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Telephone | 360-860-3100
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Fax | 360-205-3587
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Provider Business Mailing Address
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Address Line | 19442 1ST AVE NE
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City | POULSBO
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State | WA
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Zip | 98370-7382
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Country | US
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Telephone | 360-860-3100
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Fax | 360-205-3587
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Authorized Official
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Title or Position | OWNER, DOCTOR OF PHYSICAL THERAPY
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Name | GREGORY SPOONER
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Credential | DPT
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Telephone | 206-795-4184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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