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General NPI Number Information
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NPI Number | 1801696901
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Entity Type | Organization
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Legal Business Name | SEALY PHYSICAL THERAPY PTP INVESTMENT LLC
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 602 MEYER ST
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City | SEALY
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State | TX
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Zip | 77474-2714
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Country | US
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Telephone | 979-627-7774
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Fax |
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Provider Business Mailing Address
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Address Line | 940 S KIMBALL AVE STE 175
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City | SOUTHLAKE
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State | TX
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Zip | 76092-9024
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JULIE RADLEY
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Credential |
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Telephone | 713-591-2256
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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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