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General NPI Number Information
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NPI Number | 1689060568
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Entity Type | Organization
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Legal Business Name | PREMIER THERAPY SERVICES
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 201 S MAIN STREET BUILDING LOFT A
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City | LAMBERTVILLE
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State | NJ
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Zip | 08530
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Country | US
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Telephone | 609-397-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 201 S MAIN STREET BUILDING LOFT A
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City | LAMBERTVILLE
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State | NJ
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Zip | 08530
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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 | CLINICAL OPERATIONS SPECIALIST
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Name | KATIE ALLYN
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Credential | MHS, OTR/L
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Telephone | 609-955-1436
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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 | 15437
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License Number State | NC
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