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NPI 1922517424

NPI 1922517424 : METRO PHYSICAL & OCCUPATIONAL THERAPY INC : LAKE WORTH, FL

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General NPI Number Information
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    NPI Number           |    1922517424
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    Entity Type          |    Organization 
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    Legal Business Name  |    METRO PHYSICAL & OCCUPATIONAL THERAPY INC 
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Dates
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    Enumeration Date     |    09/27/2017
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    Last Update Date     |    10/11/2017
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Provider Practice Location Address
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    Address Line         |    9130 HYPOLUXO ROAD 
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    City                 |    LAKE WORTH
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    State                |    FL
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    Zip                  |    33467
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    Country              |    US
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    Telephone            |    516-745-8070
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    Fax                  |    516-745-8055
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Provider Business Mailing Address
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    Address Line         |    800 E GATE BLVD 
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    City                 |    GARDEN CITY
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    State                |    NY
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    Zip                  |    11530-2105
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    Country              |    US
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    Telephone            |    516-745-8070
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    Fax                  |    516-745-8055
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHAEL  MAYRSOHN 
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    Credential           |    DPT
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    Telephone            |    516-745-8070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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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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