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General NPI Number Information
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NPI Number | 1831512870
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Entity Type | Organization
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Legal Business Name | ORTHOMOTION PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/28/2014
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 17017 N 12TH ST UNIT 2015
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City | PHOENIX
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State | AZ
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Zip | 85022-2096
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Country | US
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Telephone | 724-554-5546
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Fax |
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Provider Business Mailing Address
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Address Line | 17017 N 12TH ST UNIT 2015
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City | PHOENIX
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State | AZ
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Zip | 85022-2096
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Country | US
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Telephone | 724-554-5546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL T MORGAN
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Credential | DPT
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Telephone | 724-713-1067
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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 | AZ
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