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General NPI Number Information
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NPI Number | 1619919248
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY & SPORTS REHAB, INC.
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 09/10/2020
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Provider Practice Location Address
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Address Line | 8133 E MARKET ST STE 1
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City | WARREN
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State | OH
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Zip | 44484-2256
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Country | US
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Telephone | 330-609-8600
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Fax | 330-609-5237
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Provider Business Mailing Address
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Address Line | 8133 E MARKET ST STE 1
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City | WARREN
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State | OH
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Zip | 44484-2256
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Country | US
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Telephone | 330-609-8600
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Fax | 330-609-5237
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ALICE M. RIFFLE
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Credential |
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Telephone | 330-609-8600
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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 | OH
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