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General NPI Number Information
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NPI Number | 1730354283
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC REHAB SPECIALISTS INC.
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 6231 66TH ST
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City | PINELLAS PARK
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State | FL
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Zip | 33781-5025
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Country | US
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Telephone | 727-544-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 16112 6TH ST E
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City | REDINGTON BEACH
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State | FL
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Zip | 33708-1618
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Country | US
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Telephone | 727-409-8889
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT/OWNER
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Name | BRADLEY YOUNG
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Credential | P.T.
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Telephone | 727-409-8889
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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 | FL
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