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General NPI Number Information
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NPI Number | 1992817316
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Entity Type | Organization
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Legal Business Name | HEALTH MOTION PHYSICAL THERAPY SERVICES INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/21/2023
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Provider Practice Location Address
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Address Line | 3826 44TH ST SE
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City | KENTWOOD
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State | MI
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Zip | 49512-3919
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Country | US
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Telephone | 616-554-0918
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Fax | 616-554-3079
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Provider Business Mailing Address
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Address Line | 3826 44TH ST SE
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City | KENTWOOD
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State | MI
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Zip | 49512-3919
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Country | US
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Telephone | 616-554-0918
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Fax | 616-554-3079
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARA DEBOER
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Credential |
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Telephone | 616-554-0918
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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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