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General NPI Number Information
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NPI Number | 1942255898
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Entity Type | Organization
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Legal Business Name | VALLEY PHYSICAL THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9700 N 91ST ST A-115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5054
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Country | US
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Telephone | 480-922-1376
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Fax | 480-922-8783
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Provider Business Mailing Address
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Address Line | 9700 N 91ST ST A-115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5054
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Country | US
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Telephone | 480-922-1376
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Fax | 480-922-8783
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. MICHAEL DONALD LOSITO
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Credential | P.T.
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Telephone | 480-922-1376
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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 | AZ
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