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General NPI Number Information
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NPI Number | 1689051260
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Entity Type | Organization
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Legal Business Name | PRECIOUS MOVEMENTS PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 05/02/2015
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Last Update Date | 05/02/2015
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Provider Practice Location Address
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Address Line | 1592 RICHMOND AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-1529
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Country | US
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Telephone | 347-857-6368
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Fax | 347-857-6583
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Provider Business Mailing Address
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Address Line | 348 CRYSTAL AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-2007
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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 | PRESIDENT, PHYSICAL THERAPIST
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Name | AMANDA L ROTONDO
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Credential | PT, DPT
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Telephone | 917-991-2709
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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 | 036831
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License Number State | NY
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