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General NPI Number Information
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NPI Number | 1316339245
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Entity Type | Organization
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Legal Business Name | ORTHOCARE & SPORTS PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 1360 9TH AVE STE 210
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-2374
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Country | US
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Telephone | 415-528-7188
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Fax | 415-528-7189
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Provider Business Mailing Address
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Address Line | 1360 9TH AVE STE 210
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City | SAN FRANCISCO
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State | CA
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Zip | 94122-2374
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Country | US
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Telephone | 415-528-7188
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Fax | 415-528-7189
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROMY CHAN
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Credential | PT, DPT, MS, OCS
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Telephone | 415-528-7188
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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 | 22482
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License Number State | CA
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