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General NPI Number Information
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NPI Number | 1881079549
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Entity Type | Individual
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Provider Name | ANNA WORTHINGTON DPT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 28 WHITE BRIDGE PIKE STE 206
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City | NASHVILLE
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State | TN
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Zip | 37205-1467
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Country | US
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Telephone | 615-356-9935
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Fax | 615-746-1614
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Provider Business Mailing Address
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Address Line | 1034 S BRENTWOOD BLVD SUITE 300
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1223
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Country | US
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Telephone | 314-644-1978
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Fax | 314-644-5730
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 11390
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License Number State | TN
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