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General NPI Number Information
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NPI Number | 1134216294
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Entity Type | Organization
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Legal Business Name | REHAB UNITED SPORTS MEDICINE & PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 3959 RUFFIN RD SUITE F
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City | SAN DIEGO
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State | CA
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Zip | 92123-1830
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Country | US
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Telephone | 858-279-5570
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Fax | 858-279-5303
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Provider Business Mailing Address
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Address Line | 3959 RUFFIN RD STE J
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City | SAN DIEGO
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State | CA
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Zip | 92123-1830
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Country | US
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Telephone | 858-279-5570
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Fax | 858-279-5303
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Authorized Official
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Title or Position | CEO & PRESIDENT
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Name | BRYAN S HILL
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Credential | PT
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Telephone | 858-279-5570
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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 | PT26678
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24080
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License Number State | CA
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