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NPI 1962018200

NPI 1962018200 : GREENBRIER VALLEY PHYSICAL THERAPY, LLC : HOT SPRINGS, VA

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General NPI Number Information
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    NPI Number           |    1962018200
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    Entity Type          |    Organization 
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    Legal Business Name  |    GREENBRIER VALLEY PHYSICAL THERAPY, LLC 
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Dates
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    Enumeration Date     |    09/22/2020
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    Last Update Date     |    11/18/2023
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Provider Practice Location Address
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    Address Line         |    9292 SAM SNEAD HWY UNIT 3 
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    City                 |    HOT SPRINGS
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    State                |    VA
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    Zip                  |    24445-2928
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    Country              |    US
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    Telephone            |    540-839-2224
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    Fax                  |    540-839-2244
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Provider Business Mailing Address
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    Address Line         |    PO BOX 932184 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    31193-4912
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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    |    VICE PRESIDENT
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    Name                 |     AMANDA  STREETER 
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    Credential           |    
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    Telephone            |    800-699-9395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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