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NPI 1992845879

NPI 1992845879 : OVERLOAD PHYSICAL THERAPY, LTD : BEACHWOOD, OH

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General NPI Number Information
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    NPI Number           |    1992845879
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    Entity Type          |    Organization 
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    Legal Business Name  |    OVERLOAD PHYSICAL THERAPY, LTD 
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Dates
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    Enumeration Date     |    02/08/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    24200 CHAGRIN BLVD SUITE 60
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    City                 |    BEACHWOOD
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    State                |    OH
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    Zip                  |    44122-5550
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    Country              |    US
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    Telephone            |    216-292-7569
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    Fax                  |    216-292-7612
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Provider Business Mailing Address
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    Address Line         |    24200 CHAGRIN BLVD SUITE 60
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    City                 |    BEACHWOOD
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    State                |    OH
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    Zip                  |    44122-5550
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    Country              |    US
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    Telephone            |    216-292-7569
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    Fax                  |    216-292-7612
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. JEFFREY SCOTT TOMASZEWSKI 
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    Credential           |    ATC, CSCS, MS
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    Telephone            |    216-292-7569
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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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