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General NPI Number Information
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NPI Number | 1982233847
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Entity Type | Organization
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Legal Business Name | MOTIVATE PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 321 MAIN ST
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City | CORNWALL
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State | NY
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Zip | 12518-1503
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Country | US
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Telephone | 845-551-2574
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Fax |
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Provider Business Mailing Address
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Address Line | 10 LEXINGTON HILLS UNIT 7
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City | HARRIMAN
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State | NY
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Zip | 10926-3409
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Country | US
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Telephone | 845-551-2574
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE STATHES
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Credential | PT, DPT
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Telephone | 845-501-4171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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