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General NPI Number Information
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NPI Number | 1689740680
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Entity Type | Organization
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Legal Business Name | VERTEX PHYSICAL THERAPY CORP
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9364 E RAINTREE DR SUITE 109
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2200
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Country | US
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Telephone | 480-661-1124
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Fax | 480-661-1125
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Provider Business Mailing Address
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Address Line | 9364 E RAINTREE DR SUITE 109
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2200
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Country | US
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Telephone | 480-661-1124
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Fax | 480-661-1125
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARY ANN THODE
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Credential | PT,MPT
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Telephone | 480-661-1124
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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 | AZ3847
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License Number State | AZ
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