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General NPI Number Information
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NPI Number | 1588998314
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Entity Type | Organization
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Legal Business Name | ISLAND THERAPY SERVICES OF SANIBEL, LLC
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Dates
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Enumeration Date | 09/26/2009
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 695 TARPON BAY RD UNIT 1
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City | SANIBEL
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State | FL
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Zip | 33957-3135
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Country | US
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Telephone | 239-395-5858
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Fax | 239-395-5857
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Provider Business Mailing Address
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Address Line | PO BOX 867
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City | SANIBEL
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State | FL
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Zip | 33957-0867
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Country | US
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Telephone | 239-395-5858
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Fax | 239-395-5858
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | RACHEL SALVAGE TRITAIK
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Credential | P.T.
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Telephone | 239-297-4997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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