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General NPI Number Information
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NPI Number | 1972727782
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Entity Type | Organization
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Legal Business Name | SPECIALTY THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 27511 HOLIDAY LN SUITE 105
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City | PERRYSBURG
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State | OH
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Zip | 43551-5315
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Country | US
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Telephone | 419-873-1950
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Fax | 419-873-8556
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Provider Business Mailing Address
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Address Line | 27511 HOLIDAY LN SUITE 105
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City | PERRYSBURG
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State | OH
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Zip | 43551-5315
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Country | US
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Telephone | 419-699-8565
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Fax | 419-873-8556
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MICHELLE MORRIS
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Credential | PT
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Telephone | 419-873-1950
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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 | PT005951
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License Number State | OH
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