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General NPI Number Information
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NPI Number | 1063248151
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Entity Type | Organization
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Legal Business Name | RESTORE THERAPEUTICS PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1616 W SHAW AVE STE B7
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City | FRESNO
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State | CA
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Zip | 93711-3513
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Country | US
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Telephone | 559-515-6465
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Fax |
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Provider Business Mailing Address
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Address Line | 1616 W SHAW AVE STE B7
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City | FRESNO
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State | CA
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Zip | 93711-3513
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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 | CEO
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Name | AKEMI KAUSHIK
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Credential |
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Telephone | 888-530-4415
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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 |
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License Number State |
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