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General NPI Number Information
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NPI Number | 1700843612
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Entity Type | Organization
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Legal Business Name | OZARK PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 210 RICE ST
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City | BERRYVILLE
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State | AR
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Zip | 72616-4388
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Country | US
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Telephone | 870-423-6789
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Fax | 870-423-6385
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Provider Business Mailing Address
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Address Line | 210 RICE ST
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City | BERRYVILLE
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State | AR
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Zip | 72616-4388
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Country | US
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Telephone | 870-423-6789
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Fax | 870-423-6385
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | MR. DENNIS JOHN FELLERS
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Credential | RPT
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Telephone | 870-423-6789
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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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