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General NPI Number Information
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NPI Number | 1861292070
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Entity Type | Organization
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Legal Business Name | OPTIMAL PELVIC HEALTH PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 3559 SW CORPORATE PKWY
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City | PALM CITY
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State | FL
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Zip | 34990-8152
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Country | US
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Telephone | 772-207-0512
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Fax |
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Provider Business Mailing Address
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Address Line | 507 SE VALLARTA DR
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City | PORT ST LUCIE
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State | FL
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Zip | 34984-8403
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Country | US
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Telephone | 717-823-0556
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | DR. ERIN DINSMORE
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Credential | DPT
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Telephone | 717-823-0556
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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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