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General NPI Number Information
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NPI Number | 1164672903
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Entity Type | Organization
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Legal Business Name | OPEN HANDS THERAPY LLP
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 09/29/2008
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Provider Practice Location Address
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Address Line | 5620 PASEO DEL NORTE #127C-130
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City | CARLSBAD
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State | CA
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Zip | 92008-4461
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Country | US
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Telephone | 551-221-2228
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Fax | 760-994-1232
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Provider Business Mailing Address
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Address Line | 5576 FOXTAIL LOOP
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City | CARLSBAD
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State | CA
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Zip | 92010-7152
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Country | US
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Telephone | 551-221-2228
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Fax | 760-994-1232
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Authorized Official
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Title or Position | PARTNER
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Name | MR. JOSE MANULETE FELICIANO III
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Credential | PT
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Telephone | 760-918-0661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA1138
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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 | PT25676
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License Number State | CA
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Taxonomy #3
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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 #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT20695
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License Number State | CA
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