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General NPI Number Information
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NPI Number | 1770507394
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Entity Type | Organization
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Legal Business Name | HEALTHWORKS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/22/2011
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Provider Practice Location Address
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Address Line | 13754 W BELL RD SUITE 2
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City | SURPRISE
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State | AZ
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Zip | 85374-3879
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Country | US
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Telephone | 602-867-1887
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Fax | 602-765-1156
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Provider Business Mailing Address
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Address Line | 3902 E TARO LN
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City | PHOENIX
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State | AZ
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Zip | 85050-6351
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Country | US
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Telephone | 602-867-1887
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Fax | 602-765-1156
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. NONA K. HOLTZAPFEL
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Credential |
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Telephone | 602-867-1887
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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 | 748
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License Number State | AZ
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