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General NPI Number Information
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NPI Number | 1740901081
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Entity Type | Organization
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Legal Business Name | PETTI REHABILITATION LLC
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 5564 HORN RD
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City | NAPLES
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State | NY
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Zip | 14512-9304
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Country | US
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Telephone | 315-401-5055
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Fax | 949-222-4407
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Provider Business Mailing Address
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Address Line | 5564 HORN RD
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City | NAPLES
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State | NY
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Zip | 14512-9304
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Country | US
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Telephone | 315-401-5055
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Fax | 949-222-4407
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | ANNA C PETTI
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Credential | PT, DPT
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Telephone | 315-401-5055
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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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