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General NPI Number Information
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NPI Number | 1770506693
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Entity Type | Organization
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Legal Business Name | ANYWHERE PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4492 FOOTHILLS DR
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City | LOVELAND
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State | CO
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Zip | 80537-3567
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Country | US
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Telephone | 970-391-2262
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Fax | 970-669-7262
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Provider Business Mailing Address
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Address Line | PO BOX 2593
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City | LOVELAND
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State | CO
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Zip | 80539-2593
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Country | US
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Telephone | 970-391-2262
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Fax | 970-669-7262
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | MR. MATTHEW DAVID MANDSAGER
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Credential | MPT
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Telephone | 970-391-2262
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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 | 7286
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License Number State | CO
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