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General NPI Number Information
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NPI Number | 1093546624
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Entity Type | Organization
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Legal Business Name | HELIX PERFORMANCE PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 3420 FOSTORIA WAY STE A100
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City | DANVILLE
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State | CA
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Zip | 94526-5570
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Country | US
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Telephone | 925-222-5101
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Fax | 925-233-3313
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Provider Business Mailing Address
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Address Line | 3420 FOSTORIA WAY STE A100
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City | DANVILLE
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State | CA
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Zip | 94526-5570
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Country | US
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Telephone | 925-222-5101
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Fax | 925-233-3313
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Authorized Official
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Title or Position | PRESIDENT
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Name | WESTON ANDERSON
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Credential | PT DPT
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Telephone | 925-222-5101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical 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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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