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General NPI Number Information
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NPI Number | 1841281698
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Entity Type | Organization
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Legal Business Name | PREFERRED PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 11/01/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1615B N MAIN STREET EXT
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City | BUTLER
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State | PA
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Zip | 16001-1512
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Country | US
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Telephone | 724-285-5546
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Fax | 724-285-3883
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Provider Business Mailing Address
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Address Line | 1615B N MAIN STREET EXT
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City | BUTLER
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State | PA
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Zip | 16001-1512
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Country | US
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Telephone | 724-285-5546
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Fax | 724-285-3883
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MRS. SHIRLEY D CORSO
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Credential |
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Telephone | 724-285-5546
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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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