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General NPI Number Information
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NPI Number | 1184512600
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Entity Type | Organization
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Legal Business Name | S2 PHYSICAL THERAPY & REHAB
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 17000 VENTURA BLVD STE 103
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City | ENCINO
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State | CA
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Zip | 91316-4187
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Country | US
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Telephone | 818-995-4488
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Fax | 818-995-3140
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Provider Business Mailing Address
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Address Line | 17000 VENTURA BLVD STE 103
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City | ENCINO
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State | CA
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Zip | 91316-4187
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Country | US
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Telephone | 818-995-4488
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Fax | 818-995-3140
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Authorized Official
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Title or Position | PRESIDENT
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Name | SEPEHR KOLINY
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Credential | DPT
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Telephone | 818-995-4488
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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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