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General NPI Number Information
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NPI Number | 1700436987
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Entity Type | Organization
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Legal Business Name | PT WORKS LLC
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 1100 PEACHTREE ST NE STE 250
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City | ATLANTA
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State | GA
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Zip | 30309-4522
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Country | US
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Telephone | 470-733-2135
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Fax |
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Provider Business Mailing Address
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Address Line | 400 W PEACHTREE ST NW UNIT 1909
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City | ATLANTA
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State | GA
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Zip | 30308-3551
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Country | US
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Telephone |
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Fax | 855-703-9473
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Authorized Official
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Title or Position | CEO
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Name | TERESA BRISTOL
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Credential | PT, CERT. DN, DPT
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Telephone | 470-733-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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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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