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General NPI Number Information
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NPI Number | 1598356859
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Entity Type | Organization
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Legal Business Name | YONI'S PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 1732 N OLD US 23
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City | HOWELL
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State | MI
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Zip | 48843-7193
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Country | US
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Telephone | 810-991-1426
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Fax |
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Provider Business Mailing Address
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Address Line | 747 SADDLE CLUB LN
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City | HOWELL
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State | MI
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Zip | 48843-7195
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Country | US
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Telephone | 517-404-2835
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | JOUNI MANTYLA
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Credential | PT
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Telephone | 810-991-1426
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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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