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General NPI Number Information
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NPI Number | 1881599868
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC & SPINE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 10/10/2026
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Last Update Date | 10/10/2026
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Provider Practice Location Address
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Address Line | 1842 STEEPLECHASE RD
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City | CANTON
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State | MI
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Zip | 48188-2565
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Country | US
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Telephone | 517-862-6648
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Fax |
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Provider Business Mailing Address
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Address Line | 1842 STEEPLECHASE RD
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City | CANTON
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State | MI
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Zip | 48188-2565
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Country | US
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Telephone | 517-862-6648
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SOUNDARARAJAN DURAISAMY
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Credential |
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Telephone | 517-862-6648
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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 |
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License Number State | NULL
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