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General NPI Number Information
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NPI Number | 1902193063
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Entity Type | Organization
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Legal Business Name | PT WORKS LLC
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Dates
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Enumeration Date | 07/08/2011
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 43 WEST MAIN STREET
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City | AVON
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State | CT
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Zip | 06001-4219
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Country | US
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Telephone | 215-528-9799
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Fax | 215-925-1843
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Provider Business Mailing Address
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Address Line | 43 WEST MAIN STREET
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City | AVON
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State | CT
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Zip | 06001-4219
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Country | US
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Telephone | 215-528-9799
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Fax | 215-925-1843
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. SELINDA SHEPHERD
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Credential | PT, DPT
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Telephone | 215-528-9899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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