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General NPI Number Information
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NPI Number | 1871332643
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Entity Type | Organization
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Legal Business Name | MANUAL PHYSICAL THERAPY SPECIALISTS PLLC
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 421 PENBROOKE DR STE 1
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City | PENFIELD
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State | NY
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Zip | 14526-2045
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Country | US
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Telephone | 215-350-5181
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BROMLEY RD
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City | PITTSFORD
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State | NY
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Zip | 14534-2933
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Country | US
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Telephone | 215-350-5181
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC MATTHEW KEENE
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Credential | PT, DPT, OCS, CFMT
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Telephone | 215-350-5181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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