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General NPI Number Information
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NPI Number | 1972834141
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Entity Type | Organization
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Legal Business Name | PT SOLUTIONS MANAGEMENT LLC
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 7061 HALCYON SUMMIT DR
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City | MONTGOMERY
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State | AL
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Zip | 36117
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Country | US
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Telephone | 334-396-2110
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Fax | 334-396-2115
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Provider Business Mailing Address
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Address Line | 1100 CIRCLE 75 PKWY SE STE 1400
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City | ATLANTA
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State | GA
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Zip | 30339-3067
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Country | US
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Telephone | 678-981-3543
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Fax | 770-423-3369
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | MR. KELLEN JAMESON
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Credential |
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Telephone | 678-981-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational 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 | 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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