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General NPI Number Information
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NPI Number | 1922454065
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Entity Type | Organization
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Legal Business Name | A TIME TO HEAL PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 05/08/2016
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Last Update Date | 05/08/2016
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Provider Practice Location Address
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Address Line | 1805 HUDSON RD
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City | CAMBRIDGE
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State | MD
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Zip | 21613-3350
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Country | US
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Telephone | 410-330-9425
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 HUDSON RD
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City | CAMBRIDGE
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State | MD
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Zip | 21613-3350
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Country | US
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Telephone | 410-330-9425
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SARA A LETTELLEIR
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Credential | DPT
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Telephone | 410-330-9425
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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 | 20096
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License Number State | MD
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