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General NPI Number Information
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NPI Number | 1730075201
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Entity Type | Organization
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Legal Business Name | FORWARD PHYSICAL THERAPY & WELLNESS LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 117 MAIN ST
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City | CANAAN
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State | CT
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Zip | 06018-2463
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Country | US
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Telephone | 860-921-3882
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1133
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City | CANAAN
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State | CT
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Zip | 06018-1133
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Country | US
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Telephone | 860-921-3882
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JANE ERIN SIMONDS
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Credential | PT
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Telephone | 860-921-3882
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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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