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General NPI Number Information
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NPI Number | 1184733818
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Entity Type | Organization
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Legal Business Name | AMY FEE PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 3435 OCEAN PARK BLVD STE 111
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City | SANTA MONICA
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State | CA
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Zip | 90405-3318
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Country | US
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Telephone | 310-393-1703
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Fax | 310-943-0462
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Provider Business Mailing Address
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Address Line | 3435 OCEAN PARK BLVD STE 111
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City | SANTA MONICA
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State | CA
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Zip | 90405-3318
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Country | US
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Telephone | 310-393-1703
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Fax | 310-943-0462
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Authorized Official
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Title or Position | OWNER PHYSICAL THERAPIST
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Name | AMY BROOKE FEE
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Credential | DPT MPT ATC CSCS
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Telephone | 310-393-1703
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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 | 7030
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License Number State | CO
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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 | 27397
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License Number State | CA
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