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General NPI Number Information
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NPI Number | 1730211095
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6651 VINELAND RD SUITE 130
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City | ORLANDO
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State | FL
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Zip | 32819-7838
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Country | US
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Telephone | 407-226-3339
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Fax | 407-226-3534
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Provider Business Mailing Address
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Address Line | 6651 VINELAND RD SUITE 130
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City | ORLANDO
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State | FL
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Zip | 32819-7838
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Country | US
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Telephone | 407-226-3339
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Fax | 407-226-3534
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Authorized Official
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Title or Position | GROUP DIRECTOR
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Name | MR. ERIC SPECHT
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Credential | MPT
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Telephone | 407-226-3339
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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 | PT20384
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License Number State | FL
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