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General NPI Number Information
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NPI Number | 1144171448
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Entity Type | Organization
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Legal Business Name | CALIFORNIA REHAB PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 10754 SAND CASTLE WAY
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City | STOCKTON
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State | CA
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Zip | 95209
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Country | US
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Telephone | 209-227-0070
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 LAGUNA OAKS DR UNIT 180
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City | ELK GROVE
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State | CA
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Zip | 95758-7328
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Country | US
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Telephone | 209-227-0070
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GI MIN
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Credential |
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Telephone | 209-227-0070
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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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