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General NPI Number Information
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NPI Number | 1740288919
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Entity Type | Organization
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Legal Business Name | UNIVERSAL THERAPY DYNAMICS, INC
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 35000 KAISER CT SUITE 301
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City | WILLOUGHBY
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State | OH
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Zip | 44094-3382
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Country | US
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Telephone | 440-951-6677
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Fax | 440-951-2820
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Provider Business Mailing Address
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Address Line | 35000 KAISER CT SUITE 301
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City | WILLOUGHBY
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State | OH
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Zip | 44094-3382
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Country | US
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Telephone | 440-951-6677
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Fax | 440-951-2820
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM ALAN LIUZZO
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Credential |
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Telephone | 440-951-6677
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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 | OH
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