Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI # | 1477794840 |
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| LBN Legal business name | ADVANCED PHYSICAL THERAPY, INC | ||||
| Authorized official | SCOTT MCGOUGH - (OWNER/PHYSICAL THERAPIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 03/16/2009 | ||||
| Last updated | 03/16/2009 - About 17 years ago | ||||
| Identifiers |
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