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General NPI Number Information
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NPI Number | 1609696327
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Entity Type | Organization
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Legal Business Name | KINETIC PHYSICAL THERAPY
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 202 FIELD POINT RD
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City | GREENWICH
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State | CT
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Zip | 06830-6446
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Country | US
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Telephone | 845-270-1468
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Fax |
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Provider Business Mailing Address
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Address Line | 188 CROSS RD
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City | STORMVILLE
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State | NY
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Zip | 12582-5752
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Country | US
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Telephone | 845-270-1468
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | TRACY TEMMEL
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Credential | PT
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Telephone | 845-270-1468
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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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