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General NPI Number Information
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NPI Number | 1821614215
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Entity Type | Organization
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Legal Business Name | RUNNING ON REHAB PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 1080 SW 31ST ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-2928
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Country | US
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Telephone | 754-333-1508
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Fax |
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Provider Business Mailing Address
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Address Line | 1080 SW 31ST ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-2928
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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 | PHYSICAL THERAPIST
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Name | ALYSSA INGRAM OXEN
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Credential | DPT
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Telephone | 954-383-4372
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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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