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General NPI Number Information
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NPI Number | 1043337272
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Entity Type | Organization
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Legal Business Name | FAMILY PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 2231 DOUGLAS BLVD STE 100
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City | ROSEVILLE
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State | CA
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Zip | 95661-4264
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Country | US
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Telephone | 916-782-7848
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Fax | 916-782-7855
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Provider Business Mailing Address
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Address Line | 2231 DOUGLAS BLVD STE 100
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City | ROSEVILLE
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State | CA
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Zip | 95661-4264
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Country | US
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Telephone | 916-782-7848
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Fax | 916-782-7855
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Authorized Official
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Title or Position | MANAGER
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Name | JORDAN SNOWDEN
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Credential |
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Telephone | 916-782-7848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 18509
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License Number State | CA
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