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General NPI Number Information
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NPI Number | 1629947551
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Entity Type | Organization
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Legal Business Name | COMMUNITY REHAB AND WELLNESS, PLLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 1280 NW 133RD WAY
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City | NEWBERRY
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State | FL
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Zip | 32669-0466
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Country | US
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Telephone | 810-877-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 NW 133RD WAY
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City | NEWBERRY
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State | FL
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Zip | 32669-0466
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Country | US
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Telephone | 352-663-9988
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Fax | 352-663-9608
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | KALAISENTHIL KALAIMANI
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Credential | PT
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Telephone | 810-877-3447
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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 |
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