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General NPI Number Information
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NPI Number | 1720896145
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Entity Type | Organization
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Legal Business Name | SARA THORNE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 3780 JACKSON RD STE K
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City | ANN ARBOR
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State | MI
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Zip | 48103-1871
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Country | US
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Telephone | 773-580-9716
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Fax |
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Provider Business Mailing Address
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Address Line | 305 W KEECH AVE
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City | ANN ARBOR
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State | MI
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Zip | 48103-5532
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Country | US
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Telephone | 773-580-9716
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MS. SARA GATES THORNE
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Credential | DPT, OCS
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Telephone | 773-580-9716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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