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General NPI Number Information
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NPI Number | 1649260878
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY SERVICES OF BRATTLEBORO INC
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 30 HARRIS PLACE
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City | BRATTLEBORO
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State | VT
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Zip | 05301
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Country | US
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Telephone | 802-254-4699
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Fax | 802-257-1985
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Provider Business Mailing Address
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Address Line | 30 HARRIS PLACE
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City | BRATTLEBORO
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State | VT
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Zip | 05301
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Country | US
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Telephone | 802-254-4699
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Fax | 802-257-1985
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LORI G HUGHES
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Credential |
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Telephone | 802-254-4699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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