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General NPI Number Information
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NPI Number | 1720169329
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Entity Type | Organization
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Legal Business Name | REUNION PHYSICAL THERAPY PS
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1802 S UNION AVENUE #100
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City | TACOMA
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State | WA
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Zip | 98405-1947
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Country | US
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Telephone | 253-756-8668
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Fax | 253-759-5138
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Provider Business Mailing Address
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Address Line | 1802 S UNION AVENUE #100
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City | TACOMA
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State | WA
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Zip | 98405-1947
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Country | US
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Telephone | 253-756-8668
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Fax | 253-759-5138
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. ROBERT NIEL BROWN
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Credential | PHYSICAL THERAPIST
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Telephone | 253-756-8668
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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 | PT00003144
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License Number State | WA
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