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General NPI Number Information
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NPI Number | 1760710024
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Entity Type | Organization
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Legal Business Name | FLINT PHYSICAL THERAPY SPECIALISTS
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Dates
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Enumeration Date | 11/25/2009
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Last Update Date | 11/25/2009
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Provider Practice Location Address
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Address Line | 432 N SAGINAW ST SUITE 407
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City | FLINT
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State | MI
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Zip | 48502-2013
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Country | US
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Telephone | 810-618-1897
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Fax |
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Provider Business Mailing Address
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Address Line | 432 N SAGINAW ST SUITE 407
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City | FLINT
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State | MI
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Zip | 48502-2013
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Country | US
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Telephone | 810-618-1897
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | DR. THOMAS MARK RUEDIGER
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Credential | PT
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Telephone | 810-618-1897
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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 | 5501012113
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License Number State | MI
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