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General NPI Number Information
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NPI Number | 1801515127
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Entity Type | Organization
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Legal Business Name | INFINITE ATHLETE PHYSICAL THERAPY
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 1318 UNDERWOOD RD
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City | LA PORTE
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State | TX
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Zip | 77571-9471
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Country | US
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Telephone | 737-471-2118
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Fax |
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Provider Business Mailing Address
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Address Line | 4922 RIDGEWAY DR
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City | PASADENA
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State | TX
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Zip | 77504-1710
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Country | US
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Telephone | 870-265-0159
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | DR. ARTHUR J LEE III
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Credential | PT, DPT
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Telephone | 870-265-0159
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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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