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NPI 1114710118

NPI 1114710118 : ANNIKA VOLBERT DPT : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1114710118
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    Entity Type          |    Individual 
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    Provider Name        |    ANNIKA VOLBERT DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/23/2025
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    Last Update Date     |    08/25/2025
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Provider Practice Location Address
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    Address Line         |    11825 MAJOR ST STE 107 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90230-6356
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    Country              |    US
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    Telephone            |    310-915-6100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15227 EASTWOOD AVE 
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    City                 |    LAWNDALE
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    State                |    CA
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    Zip                  |    90260-1775
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    Country              |    US
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    Telephone            |    310-776-0943
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    308659
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    License Number State |    CA
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Taxonomy #2
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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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