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General NPI Number Information
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NPI Number | 1912039983
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY ASSOCIATES
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2190 IRONWOOD PL SUITE B
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2610
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Country | US
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Telephone | 208-665-1839
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Fax | 208-665-0571
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Provider Business Mailing Address
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Address Line | 2190 IRONWOOD PL SUITE B
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2610
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Country | US
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Telephone | 208-665-1839
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Fax | 208-665-0571
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Authorized Official
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Title or Position | REGIONAL BUSINESS MANAGER
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Name | BESS MARSHALL
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Credential |
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Telephone | 360-459-5109
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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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