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General NPI Number Information
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NPI Number | 1619059565
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Entity Type | Organization
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Legal Business Name | REHABILITATIVE THERAPY SERVICES, INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2700 C N OAK ST
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City | VALDOSTA
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State | GA
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Zip | 31602
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Country | US
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Telephone | 229-460-4630
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Fax | 229-245-6561
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Provider Business Mailing Address
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Address Line | 3798 BERMUDA RUN DR
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City | VALDOSTA
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State | GA
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Zip | 31605-1060
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Country | US
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Telephone | 229-460-4630
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Fax | 229-245-6561
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Authorized Official
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Title or Position | OWNER
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Name | MS. ELIZABETH W PRINCE
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Credential | PT
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Telephone | 229-460-4630
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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 | PT001140
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License Number State | GA
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