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General NPI Number Information
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NPI Number | 1770950966
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Entity Type | Organization
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Legal Business Name | KEEP IT MOVING PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 08/24/2015
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 2552 BENTON DR
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City | JONESBORO
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State | GA
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Zip | 30236-4092
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Country | US
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Telephone | 678-523-6672
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Fax |
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Provider Business Mailing Address
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Address Line | 2552 BENTON DR
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City | JONESBORO
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State | GA
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Zip | 30236-4092
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Country | US
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Telephone | 678-523-6672
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PENNEY WRIGHT
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Credential | DPT, PT
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Telephone | 678-523-6672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | PT002310
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License Number State | GA
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