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General NPI Number Information
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NPI Number | 1487589933
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Entity Type | Organization
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Legal Business Name | PREFERRED PRACTICE THERAPY PC
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 1225 W 190TH ST STE 360
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City | GARDENA
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State | CA
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Zip | 90248-4338
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Country | US
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Telephone | 310-819-8184
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 W 190TH ST STE 360
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City | GARDENA
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State | CA
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Zip | 90248-4338
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Country | US
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Telephone | 310-819-8184
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Fax |
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Authorized Official
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Title or Position | OWNER-SPEECH LANGUAGE PATHOLOGIST
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Name | LORNA MOTEN
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Credential |
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Telephone | 310-890-7720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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