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General NPI Number Information
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NPI Number | 1700042819
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY WORLD AND REHABILITATION INC
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 23 MUDIE CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3580
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Country | US
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Telephone | 973-652-8482
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Fax |
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Provider Business Mailing Address
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Address Line | 23 MUDIE CT
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-3580
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Country | US
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Telephone | 973-652-8482
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AKSHITA MANISH SHAH
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Credential | PT
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Telephone | 973-652-8482
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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 | PT40QA01104900
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License Number State | NJ
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