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General NPI Number Information
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NPI Number | 1750150173
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Entity Type | Organization
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Legal Business Name | QUALITY PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 270 FARMINGTON AVE STE 337
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City | FARMINGTON
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State | CT
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Zip | 06032-1909
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Country | US
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Telephone | 860-674-1852
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Fax | 860-674-1937
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Provider Business Mailing Address
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Address Line | 289 SOUTH RD
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City | FARMINGTON
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State | CT
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Zip | 06032-2616
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Country | US
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Telephone | 860-306-7167
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Fax | 860-674-1937
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MS. JEANNE L THOMPSON
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Credential | PT
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Telephone | 860-674-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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