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General NPI Number Information
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NPI Number | 1780452995
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Entity Type | Organization
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Legal Business Name | PROGRESSIONS PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 64 HOBBS ST # 3
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City | CONWAY
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State | NH
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Zip | 03818-6251
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Country | US
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Telephone | 603-242-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 30 ALPINE PLACE DR UNIT 110
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5277
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Country | US
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Telephone | 641-351-8741
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EMMA BARNES RUNQUIST
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Credential | PT, DPT
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Telephone | 641-351-8741
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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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