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General NPI Number Information
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NPI Number | 1265072003
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Entity Type | Organization
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Legal Business Name | MOBILITY IN-HOME PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 1079 N VULCAN AVE
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City | ENCINITAS
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State | CA
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Zip | 92024-1723
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Country | US
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Telephone | 760-445-3408
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Fax | 760-456-9739
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Provider Business Mailing Address
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Address Line | 1079 N VULCAN AVE
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City | ENCINITAS
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State | CA
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Zip | 92024-1723
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Country | US
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Telephone | 760-445-3408
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Fax | 760-456-9739
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAURIE GREEN
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Credential | MPT
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Telephone | 760-445-3408
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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 |
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License Number State |
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