Basic Information
Provider Information
NPI: 1629035431
EntityType: 2
ReplacementNPI:  
OrganizationName: NO LIMITS PHYSICAL THERAPY & SPORTS MEDICINE CENTER, LLC
LastName:  
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Mailing Information
Address1: HC 6 BOX 6046
Address2: 25 19 RT 6
City: HAWLEY
State: PA
PostalCode: 184289100
CountryCode: US
TelephoneNumber: 5702265680
FaxNumber: 5702265682
Practice Location
Address1: HC 6 BOX 6046
Address2: THE LAKE'S NORTH POLE
City: HAWLEY
State: PA
PostalCode: 184289100
CountryCode: US
TelephoneNumber: 5702265680
FaxNumber: 5702265682
Other Information
ProviderEnumerationDate: 04/26/2006
LastUpdateDate: 10/08/2007
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: DUNN
AuthorizedOfficialFirstName: RUTH
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: TREASURER
AuthorizedOfficialTelephone: 5702265680
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X  Y193400000X SINGLE SPECIALTY GROUPOther Service ProvidersSpecialist 

No ID Information.


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