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General NPI Number Information
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NPI Number | 1770978702
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Entity Type | Organization
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Legal Business Name | LIFE HEALTH STRENGTH PHYSICAL REHABILITATION LLC
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Dates
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Enumeration Date | 04/06/2015
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Last Update Date | 07/20/2020
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Provider Practice Location Address
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Address Line | 2000 HAMILTON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3814
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Country | US
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Telephone | 267-297-6499
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Fax | 267-297-6614
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Provider Business Mailing Address
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Address Line | PO BOX 12635
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City | PHILADELPHIA
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State | PA
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Zip | 19129-0035
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Country | US
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Telephone | 267-297-6499
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Fax | 267-297-6614
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY/OWNER
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Name | LATISHA MCKENZIE
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Credential | DPT
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Telephone | 267-297-6499
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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 |
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License Number State |
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