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General NPI Number Information
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NPI Number | 1194228650
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Entity Type | Organization
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Legal Business Name | TRAIN RECOVER INSPIRE PHYSICAL THERAPY INC.
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 04/17/2020
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Provider Practice Location Address
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Address Line | 2455 190TH ST STE A
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City | REDONDO BEACH
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State | CA
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Zip | 90278-5334
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Country | US
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Telephone | 310-846-9156
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Fax | 424-268-2127
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Provider Business Mailing Address
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Address Line | 2455 190TH ST STE A
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City | REDONDO BEACH
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State | CA
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Zip | 90278-5334
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Country | US
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Telephone | 310-846-9156
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Fax | 424-268-2127
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Authorized Official
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Title or Position | PT, OWNER
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Name | ALANNA GREY
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Credential | PT, DPT
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Telephone | 310-846-9156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 35915
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License Number State | CA
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