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General NPI Number Information
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NPI Number | 1972300820
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Entity Type | Organization
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Legal Business Name | SUTTON REHAB & PERFORMANCE PLLC
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Dates
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Enumeration Date | 02/27/2025
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 39 MOUNT HOOD RD APT 3
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City | BOSTON
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State | MA
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Zip | 02135-7341
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Country | US
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Telephone | 646-251-8051
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Fax |
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Provider Business Mailing Address
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Address Line | 39 MOUNT HOOD RD APT 3
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City | BOSTON
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State | MA
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Zip | 02135-7341
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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 | OWNER/PHYSICAL THERAPIST
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Name | ABRAHAM SUTTON
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Credential |
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Telephone | 646-251-8051
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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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