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General NPI Number Information
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NPI Number | 1083210686
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Entity Type | Organization
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Legal Business Name | CHILDREN'S PHYSICAL THERAPY AND WELLNESS CORPORATION
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 44850 LAS PALMAS AVE STE F
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City | PALM DESERT
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State | CA
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Zip | 92260-3558
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Country | US
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Telephone | 760-341-0222
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Fax | 760-477-6077
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Provider Business Mailing Address
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Address Line | 44850 LAS PALMAS AVE STE F
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City | PALM DESERT
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State | CA
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Zip | 92260-3558
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Country | US
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Telephone | 760-341-0222
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Fax | 760-477-6077
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. CRIZEL LEGASPI-PARTO
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Credential | PT, DPT
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Telephone | 760-341-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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