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General NPI Number Information
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NPI Number | 1093533937
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Entity Type | Organization
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Legal Business Name | TRINITY PHYSICAL THERAPY AND FITNESS
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 31166 VIA COLINAS STE 1
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3947
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Country | US
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Telephone | 626-257-6240
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Fax |
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Provider Business Mailing Address
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Address Line | 5212 TOPANGA CANYON BLVD
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City | WOODLAND HILLS
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State | CA
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Zip | 91364-1715
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Country | US
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Telephone | 626-257-6240
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | PARKER VINCENT
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Credential | PT, DPT
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Telephone | 626-257-6240
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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 |
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License Number State |
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