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General NPI Number Information
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NPI Number | 1205786241
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Entity Type | Organization
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Legal Business Name | DIABLO SUMMIT PELVIC HEALTH & PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 2255 YGNACIO VALLEY RD STE T
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City | WALNUT CREEK
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State | CA
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Zip | 94598-3347
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Country | US
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Telephone | 925-289-1808
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Fax |
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Provider Business Mailing Address
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Address Line | 1839 YGNACIO VALLEY RD. STEB PMB 1093
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City | WALNUT CREEK
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State | CA
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Zip | 94598
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Country | US
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Telephone | 925-289-1808
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/CEO
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Name | JULIE EHLERS
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Credential | PT,DPT, CLT, PCES
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Telephone | 925-289-1808
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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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