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General NPI Number Information
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NPI Number | 1023037017
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Entity Type | Organization
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Legal Business Name | ACTION PHYSICAL THERAPY OF MARINA
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 266 RESERVATION RD SUITE O
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City | MARINA
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State | CA
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Zip | 93933-3179
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Country | US
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Telephone | 831-883-9560
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Fax |
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Provider Business Mailing Address
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Address Line | 266 RESERVATION RD SUITE F BOX # 142
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City | MARINA
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State | CA
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Zip | 93933-3179
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Country | US
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Telephone | 831-883-9560
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CRAIG DARRYL SCHMITZ
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Credential | PT
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Telephone | 831-883-9560
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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 | PT11697
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License Number State | CA
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