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General NPI Number Information
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NPI Number | 1871240218
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Entity Type | Organization
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Legal Business Name | PALM BEACH PHYSICAL THERAPY & REHABILITATION
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Dates
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Enumeration Date | 03/06/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 6250 LANTANA RD STE 25
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City | LAKE WORTH
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State | FL
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Zip | 33463-6611
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Country | US
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Telephone | 561-373-9494
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Fax | 561-536-3966
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Provider Business Mailing Address
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Address Line | 815 BRADLEY ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33405-2855
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Country | US
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Telephone | 561-373-9494
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KARLA PEREZ
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Credential | PTA
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Telephone | 561-373-9494
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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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