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General NPI Number Information
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NPI Number | 1093614257
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Entity Type | Organization
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Legal Business Name | KPO PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 41278 MARGARITA RD STE 102
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City | TEMECULA
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State | CA
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Zip | 92591-5579
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Country | US
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Telephone | 951-587-8105
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Fax | 951-587-8405
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Provider Business Mailing Address
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Address Line | 1125 CERRITOS DR
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City | FULLERTON
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State | CA
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Zip | 92835-4019
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Country | US
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Telephone | 714-726-1969
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MATTHEW REEKSTIN
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Credential | PT
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Telephone | 714-726-1969
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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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