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General NPI Number Information
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NPI Number | 1609688183
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Entity Type | Organization
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Legal Business Name | FLEXLINE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 01/22/2025
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 1801 AUTUMN POND CIR
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City | ALVIN
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State | TX
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Zip | 77511-4155
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Country | US
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Telephone | 832-554-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 AUTUMN POND CIR
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City | ALVIN
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State | TX
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Zip | 77511-4155
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, LEAD PHYSICAL THERAPIST
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Name | TIMOTHY BERRETH
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Credential | DPT
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Telephone | 254-316-8531
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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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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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