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General NPI Number Information
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NPI Number | 1659552339
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY AND WELLNESS INSTITUTE INC
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Dates
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Enumeration Date | 11/21/2007
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 23 E ACRE DR
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City | PLANTATION
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State | FL
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Zip | 33317-2640
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Country | US
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Telephone | 954-792-2840
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15458
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City | PLANTATION
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State | FL
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Zip | 33318-5458
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LAURA COPPEE
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Credential |
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Telephone | 954-792-2840
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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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