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General NPI Number Information
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NPI Number | 1851462485
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL THERAPY SERVICES INC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 1110 15TH ST SUITE C
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City | TUSCALOOSA
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State | AL
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Zip | 35401-3392
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Country | US
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Telephone | 205-758-0053
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Fax | 205-758-0390
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Provider Business Mailing Address
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Address Line | PO BOX 2273
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City | RIDGELAND
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State | MS
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Zip | 39158-2273
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Country | US
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Telephone | 205-758-0053
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Fax | 205-758-0390
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Authorized Official
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Title or Position | OWNER SECTRY TREASURER
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Name | STEWART ATKINS
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Credential | P.T.
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Telephone | 205-758-0053
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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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