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General NPI Number Information
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NPI Number | 1669887949
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY IN MOTION, INC.
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Dates
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Enumeration Date | 06/25/2014
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Last Update Date | 06/25/2014
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Provider Practice Location Address
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Address Line | 4075 STERLINGTON RD
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City | MONROE
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State | LA
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Zip | 71203-2535
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Country | US
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Telephone | 318-557-7985
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Fax |
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Provider Business Mailing Address
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Address Line | 248 LENOX BRG
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City | STERLINGTON
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State | LA
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Zip | 71280-3346
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Country | US
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Telephone | 318-557-7985
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. MOUHAMED LAMINE BADJI
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Credential | PT, DPT
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Telephone | 318-557-7985
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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 | 06782
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License Number State | LA
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