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General NPI Number Information
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NPI Number | 1750331864
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC AND SPORTS PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 1616 WALNUT ST SUITE 210
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5313
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Country | US
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Telephone | 215-545-8717
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Fax | 215-545-9355
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Provider Business Mailing Address
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Address Line | 420 BAINBRIDGE ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1568
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Country | US
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Telephone | 215-629-3837
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Fax | 215-629-5531
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Authorized Official
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Title or Position | CEO
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Name | JEFFREY ROBERT OSTROWSKI
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Credential | PT
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Telephone | 215-629-3837
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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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