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General NPI Number Information
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NPI Number | 1316211857
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Entity Type | Organization
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Legal Business Name | O PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 1293 E 1ST AVE STE B
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City | CHICO
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State | CA
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Zip | 95926-1548
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Country | US
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Telephone | 530-604-8264
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Fax | 888-387-5007
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Provider Business Mailing Address
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Address Line | PO BOX 1785
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City | CHICO
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State | CA
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Zip | 95927-1785
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Country | US
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Telephone | 530-604-8264
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Fax | 888-387-5007
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHARLYNN LANDERS
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Credential | PT
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Telephone | 530-604-8264
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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 | PT19652
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License Number State | CA
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