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NPI 1801963590

NPI 1801963590 : CUMBERLAND PHYSICAL THERAPY AND REHABILITATION : SPARTA, TN

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General NPI Number Information
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    NPI Number           |    1801963590
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    Entity Type          |    Organization 
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    Legal Business Name  |    CUMBERLAND PHYSICAL THERAPY AND REHABILITATION 
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Dates
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    Enumeration Date     |    11/29/2006
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    Last Update Date     |    07/12/2023
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Provider Practice Location Address
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    Address Line         |    550 NORTH SPRING ST. 
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    City                 |    SPARTA
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    State                |    TN
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    Zip                  |    38583-1330
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    Country              |    US
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    Telephone            |    931-837-2221
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    Fax                  |    931-837-2782
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Provider Business Mailing Address
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    Address Line         |    550 NORTH SPRING ST. 
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    City                 |    SPARTA
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    State                |    TN
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    Zip                  |    38583-1330
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    Country              |    US
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    Telephone            |    931-837-2221
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    Fax                  |    931-837-2782
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Authorized Official
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    Title or Position    |    PRESIDENT/PHYSICAL THERAPIST/CEO
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    Name                 |     MARSHA LYNN BOWMAN 
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    Credential           |    PT
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    Telephone            |    931-837-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0400X
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    Taxonomy Name        |    Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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