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General NPI Number Information
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NPI Number | 1609750173
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Entity Type | Organization
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Legal Business Name | FOI PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 08/05/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 151 W SUPERSTITION BLVD UNIT 4106
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City | APACHE JUNCTION
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State | AZ
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Zip | 85178-6006
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Country | US
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Telephone | 480-430-0721
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4106
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City | APACHE JUNCTION
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State | AZ
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Zip | 85178-0003
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Country | US
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Telephone | 480-430-0721
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMEELAH WILSON
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Credential | FNP-C
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Telephone | 480-430-0721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 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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