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General NPI Number Information
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NPI Number | 1750897344
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Entity Type | Organization
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Legal Business Name | PHYSIO THERAPY SOLUTIONS LLC
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Dates
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Enumeration Date | 12/19/2017
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Last Update Date | 12/19/2017
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Provider Practice Location Address
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Address Line | 8500 STATION ST # 255
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City | MENTOR
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State | OH
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Zip | 44060-4943
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Country | US
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Telephone | 440-725-0703
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Fax |
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Provider Business Mailing Address
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Address Line | 8500 STATION ST # 255
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City | MENTOR
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State | OH
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Zip | 44060-4943
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Country | US
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Telephone | 440-725-0703
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MOLLY A STEVENS
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Credential | DPT
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Telephone | 440-725-0703
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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 | 10642
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License Number State | OH
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