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General NPI Number Information
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NPI Number | 1255523130
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Entity Type | Organization
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Legal Business Name | ACTION IN MOTION INC
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 03/10/2023
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Provider Practice Location Address
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Address Line | 822 HARTZ WAY SUITE 205
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City | DANVILLE
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State | CA
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Zip | 94526-3415
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Country | US
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Telephone | 925-831-8559
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Fax | 925-831-8821
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Provider Business Mailing Address
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Address Line | 3150 CROW CANYON PL STE 110
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City | SAN RAMON
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State | CA
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Zip | 94583-1716
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Country | US
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Telephone | 925-831-8559
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Fax | 925-831-8821
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MRS. GLORIA SOTO REYES
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Credential |
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Telephone | 925-351-3586
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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 | PT11877
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License Number State | CA
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