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General NPI Number Information
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NPI Number | 1679604078
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY UNLIMITED, P.C.
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 1356 FM 2673
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City | CANYON LAKE
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State | TX
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Zip | 78133-4510
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Country | US
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Telephone | 830-907-2145
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Fax | 830-964-2373
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Provider Business Mailing Address
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Address Line | 1356 FM 2673
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City | CANYON LAKE
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State | TX
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Zip | 78133-4510
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Country | US
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Telephone | 830-907-2145
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Fax | 830-964-2373
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Authorized Official
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Title or Position | PRESIDENY OWNER PHYSICAL THERAPIST
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Name | MR. ROBERT RODRIGUEZ
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Credential | LPT
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Telephone | 830-907-2145
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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 | 603080000
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License Number State | TX
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