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General NPI Number Information
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NPI Number | 1780891424
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Entity Type | Organization
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Legal Business Name | HEALTHSPOT PHYSICAL THERAPY & FITNESS, INC
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1510 ROYAL PALM SQUARE BLVD SUITE 105
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City | FORT MYERS
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State | FL
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Zip | 33919-1068
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Country | US
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Telephone | 239-274-7008
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Fax | 239-274-7070
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Provider Business Mailing Address
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Address Line | 1510 ROYAL PALM SQUARE BLVD SUITE 105
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City | FORT MYERS
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State | FL
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Zip | 33919-1068
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Country | US
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Telephone | 239-274-7008
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Fax | 239-274-7070
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Authorized Official
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Title or Position | OWNER
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Name | AMY MCBREEN BABB
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Credential | DPT
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Telephone | 239-274-7008
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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 | PT018683
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License Number State | FL
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