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General NPI Number Information
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NPI Number | 1891838702
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Entity Type | Organization
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Legal Business Name | ALLIANCE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 2500 SW 336TH ST STE E
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City | FEDERAL WAY
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State | WA
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Zip | 98023
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Country | US
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Telephone | 253-838-6611
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Fax | 253-838-6789
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Provider Business Mailing Address
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Address Line | 34507 PACIFIC HWY S 6
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City | FEDERAL WAY
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State | WA
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Zip | 98003
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Country | US
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Telephone | 253-838-6611
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Fax | 253-838-6789
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN G WITTROCK
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Credential | PT
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Telephone | 253-838-2464
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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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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT00003078
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License Number State | WA
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