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General NPI Number Information
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NPI Number | 1487831616
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Entity Type | Organization
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Legal Business Name | SAVINA KOLLMORGEN & MARIA KATZ PHYSICAL THERAPIST A PROFESSIONAL CORP
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/30/2008
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Provider Practice Location Address
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Address Line | 5525 ETIWANDA AVE SUITE # 110
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City | TARZANA
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State | CA
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Zip | 91356-3647
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Country | US
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Telephone | 818-343-3900
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Fax | 818-342-8545
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Provider Business Mailing Address
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Address Line | 5525 ETIWANDA AVE SUITE # 110
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City | TARZANA
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State | CA
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Zip | 91356-3647
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Country | US
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Telephone | 818-343-3900
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Fax | 818-342-8545
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SAVINA E KOLLMORGEN
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Credential | PT
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Telephone | 818-731-3280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CA
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