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NPI 1912791088

NPI 1912791088 : LITTON PHYSICAL THERAPY AND WELLNESS LLC : DAPHNE, AL

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General NPI Number Information
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    NPI Number           |    1912791088
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    Entity Type          |    Organization 
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    Legal Business Name  |    LITTON PHYSICAL THERAPY AND WELLNESS LLC 
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Dates
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    Enumeration Date     |    04/05/2025
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    Last Update Date     |    04/05/2025
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Provider Practice Location Address
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    Address Line         |    28260 US HIGHWAY 98 STE B 
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    City                 |    DAPHNE
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    State                |    AL
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    Zip                  |    36526-7075
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    Country              |    US
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    Telephone            |    251-458-9938
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    16 BULL RUN 
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    City                 |    SPANISH FORT
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    State                |    AL
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    Zip                  |    36527-3030
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    Country              |    US
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    Telephone            |    251-458-9938
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DOCTOR OF PHYSICAL THERAPY
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    Name                 |     LUCILLE C LITTON 
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    Credential           |    PT, DPT
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    Telephone            |    251-458-9938
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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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