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General NPI Number Information
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NPI Number | 1952127524
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Entity Type | Organization
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Legal Business Name | STEP INTO PT LLC
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Dates
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Enumeration Date | 11/28/2024
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Last Update Date | 11/28/2024
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Provider Practice Location Address
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Address Line | 941 WEST I35 FRONTAGE ROAD STE 166 PMB 540
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City | EDMOND
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State | OK
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Zip | 73034
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Country | US
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Telephone | 972-704-5508
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Fax |
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Provider Business Mailing Address
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Address Line | 941 WEST I35 FRONTAGE ROAD STE 166 PMB 540
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City | EDMOND
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State | OK
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Zip | 73034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. CALI MARTIN
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Credential | PT, DPT
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Telephone | 972-704-5508
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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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