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General NPI Number Information
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NPI Number | 1922655802
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Entity Type | Organization
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Legal Business Name | HEALERS OF MOTION PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 08/24/2019
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Last Update Date | 08/24/2019
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Provider Practice Location Address
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Address Line | 18503 PINES BLVD STE 309
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1406
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Country | US
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Telephone | 305-987-8904
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Fax |
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Provider Business Mailing Address
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Address Line | 6564 PELICAN AVE
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2423
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Country | US
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Telephone | 305-987-8904
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST / OWNER
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Name | EVELYN MORA
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Credential | PT, DPT
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Telephone | 305-987-8904
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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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