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NPI 1659141125

NPI 1659141125 : FREE TO MOVE LLC : TEANECK, NJ

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General NPI Number Information
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    NPI Number           |    1659141125
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    Entity Type          |    Organization 
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    Legal Business Name  |    FREE TO MOVE LLC 
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Dates
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    Enumeration Date     |    01/05/2024
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    Last Update Date     |    01/05/2024
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Provider Practice Location Address
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    Address Line         |    51 GRAYSON PL 
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    City                 |    TEANECK
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    State                |    NJ
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    Zip                  |    07666-4709
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    Country              |    US
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    Telephone            |    718-840-7835
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    51 GRAYSON PL 
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    City                 |    TEANECK
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    State                |    NJ
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    Zip                  |    07666-4709
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    Country              |    US
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    Telephone            |    718-840-7835
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SARA  KOHANIM 
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    Credential           |    DPT
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    Telephone            |    718-840-7835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251C2600X
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    Taxonomy Name        |    Cardiopulmonary Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2251E1200X
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    Taxonomy Name        |    Ergonomics Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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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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