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General NPI Number Information
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NPI Number | 1023757374
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Entity Type | Organization
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Legal Business Name | HOMELINK PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 23665 GOLDEN SPRINGS DR UNIT 2E
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City | DIAMOND BAR
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State | CA
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Zip | 91765-2192
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Country | US
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Telephone | 714-812-4795
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Fax |
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Provider Business Mailing Address
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Address Line | 23665 GOLDEN SPRINGS DR UNIT 2E
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City | DIAMOND BAR
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State | CA
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Zip | 91765-2192
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REGIELOUR HOLGADO
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Credential | PT, DPT, CAPS
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Telephone | 714-362-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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