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General NPI Number Information
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NPI Number | 1144776824
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Entity Type | Organization
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Legal Business Name | GARRETT PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 550 RUSHING CREEK PL
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-2664
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Country | US
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Telephone | 805-492-4674
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Fax |
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Provider Business Mailing Address
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Address Line | 550 RUSHING CREEK PL
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-2664
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Country | US
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Telephone | 805-492-4674
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT GARRETT
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Credential |
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Telephone | 805-501-4709
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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 | PT25829
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License Number State | CA
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