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General NPI Number Information
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NPI Number | 1457692410
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Entity Type | Organization
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Legal Business Name | THE PILATES PT PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 03/14/2013
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 13425 VENTURA BLVD STE 200
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3997
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Country | US
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Telephone | 310-871-9554
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Fax |
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Provider Business Mailing Address
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Address Line | 13425 VENTURA BLVD STE 200
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3997
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Country | US
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Telephone | 310-871-9554
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. HEATHER JEFFCOAT
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Credential | PT
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Telephone | 310-871-9554
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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 | 29666
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License Number State | CA
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Taxonomy #2
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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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