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General NPI Number Information
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NPI Number | 1699560391
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Entity Type | Organization
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Legal Business Name | ONE FAITH THERAPY INC.
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Dates
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Enumeration Date | 04/12/2025
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 1809 SE PORT ST LUCIE BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-5544
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Country | US
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Telephone | 561-344-8254
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 SE PORT ST LUCIE BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-5544
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Country | US
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Telephone | 561-344-8254
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. ABRAHAM FRIAS
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Credential | PTRP, RPT, DPT
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Telephone | 561-344-8254
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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 |
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License Number State |
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