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General NPI Number Information
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NPI Number | 1629181920
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Entity Type | Organization
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Legal Business Name | MIDLAND PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5319 N SAGINAW RD SUITE A
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City | MIDLAND
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State | MI
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Zip | 48642-7501
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Country | US
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Telephone | 989-832-6485
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Fax | 989-832-6487
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Provider Business Mailing Address
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Address Line | 5319 N SAGINAW RD SUITE A
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City | MIDLAND
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State | MI
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Zip | 48642-7501
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Country | US
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Telephone | 989-832-6485
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Fax | 989-832-6487
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Authorized Official
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Title or Position | PRESIDENT DIRECTOR
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Name | SHEILA ANN LSLES-TRUAX
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Credential |
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Telephone | 989-832-6485
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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 | 5501008926
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License Number State | MI
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