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General NPI Number Information
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NPI Number | 1982254942
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Entity Type | Organization
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Legal Business Name | OHIO VALLEY SPORTS AND PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 09/12/2019
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 339 MAIN ST
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City | BRIDGEPORT
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State | OH
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Zip | 43912-1353
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Country | US
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Telephone | 740-609-7225
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Fax | 740-609-7226
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Provider Business Mailing Address
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Address Line | 339 MAIN ST
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City | BRIDGEPORT
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State | OH
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Zip | 43912-1353
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Country | US
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Telephone | 740-609-7225
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Fax | 740-609-7226
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. JOSHUA J BRYNIARSKI
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Credential | MPT
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Telephone | 740-338-9698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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