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General NPI Number Information
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NPI Number | 1861550873
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Entity Type | Organization
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Legal Business Name | SENSKA PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 06/12/2009
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Provider Practice Location Address
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Address Line | 657 E COTTONWOOD ST SUITE 10
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4407
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Country | US
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Telephone | 928-646-7051
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Fax | 928-646-7053
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Provider Business Mailing Address
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Address Line | 657 E COTTONWOOD ST SUITE 10
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City | COTTONWOOD
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State | AZ
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Zip | 86326-4407
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Country | US
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Telephone | 928-646-7051
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Fax | 928-646-7053
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRADLEY SCOTT SENSKA
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Credential | P.T., D.P.T.
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Telephone | 928-646-7051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 5547
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License Number State | AZ
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