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General NPI Number Information
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NPI Number | 1912955717
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY SOLUTIONS LLC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 18275 N 59TH AVE BLDG K, SUITE 164
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City | GLENDALE
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State | AZ
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Zip | 85308-1260
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Country | US
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Telephone | 602-230-4478
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Fax | 602-230-9962
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Provider Business Mailing Address
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Address Line | 1300 N 12TH ST SUITE 506
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City | PHOENIX
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State | AZ
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Zip | 85006-2848
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Country | US
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Telephone | 602-230-4478
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Fax | 602-230-9962
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | TAMARA K GALLOWAY
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Credential | PT
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Telephone | 602-230-4478
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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 |
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