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General NPI Number Information
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NPI Number | 1689428302
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Entity Type | Organization
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Legal Business Name | RESILIENT WELLNESS AND PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/17/2024
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 1043 STATE ROUTE 131
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City | MILFORD
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State | OH
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Zip | 45150-2708
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Country | US
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Telephone | 513-373-0012
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Fax |
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Provider Business Mailing Address
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Address Line | 1043 STATE ROUTE 131
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City | MILFORD
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State | OH
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Zip | 45150-2708
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Country | US
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Telephone | 513-373-0012
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CASSANDRA PARKER
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Credential | PT, DPT
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Telephone | 513-373-0012
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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 |
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License Number State |
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