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General NPI Number Information
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NPI Number | 1225841612
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Entity Type | Organization
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Legal Business Name | FOOTHILL PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 95 N MARENGO AVE
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City | PASADENA
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State | CA
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Zip | 91101-1764
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Country | US
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Telephone | 626-776-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 234 GLENULLEN DR
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City | PASADENA
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State | CA
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Zip | 91105-2184
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Country | US
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Telephone | 714-904-1194
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHANY FABIOLA TRITT
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Credential | PT, DPT
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Telephone | 626-776-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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