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General NPI Number Information
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NPI Number | 1336430560
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Entity Type | Organization
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Legal Business Name | BARTLEY PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 04/21/2011
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Last Update Date | 04/15/2020
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Provider Practice Location Address
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Address Line | 2166 N MOORPARK RD STE 200
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5011
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Country | US
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Telephone | 805-370-1020
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Fax | 805-370-1022
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Provider Business Mailing Address
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Address Line | 2166 N MOORPARK RD STE 200
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5011
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Country | US
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Telephone | 805-370-1020
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Fax | 805-370-1022
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | NADINE M. BARTLEY
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Credential | RPT
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Telephone | 805-492-0429
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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 |
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License Number State |
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