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General NPI Number Information
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NPI Number | 1790631711
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Entity Type | Organization
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Legal Business Name | WILLOW BAY PEDIATRIC PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 304 FLY CREEK AVE UNIT 2202
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City | FAIRHOPE
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State | AL
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Zip | 36532-3524
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Country | US
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Telephone | 251-214-5530
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Fax | 251-210-9391
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Provider Business Mailing Address
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Address Line | 12 AZALEA CT
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City | FAIRHOPE
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State | AL
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Zip | 36532-1757
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Country | US
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Telephone | 251-214-5530
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Fax | 251-210-9391
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Authorized Official
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Title or Position | ORGANIZER/OWNER
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Name | LAUREN EMILY BOWLING
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Credential | PT, DPT
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Telephone | 251-214-5530
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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 |
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License Number State |
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