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General NPI Number Information
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NPI Number | 1962267286
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Entity Type | Organization
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Legal Business Name | WESTCREEK PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/15/2024
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 5701 WESTCREEK DR
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City | FORT WORTH
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State | TX
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Zip | 76133-3301
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Country | US
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Telephone | 817-834-8214
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Fax |
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Provider Business Mailing Address
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Address Line | 6333 AIRPORT FWY # 102
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City | FORT WORTH
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State | TX
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Zip | 76117-5323
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Country | US
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Telephone | 817-834-8214
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL BROWN
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Credential |
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Telephone | 817-834-8214
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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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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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