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General NPI Number Information
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NPI Number | 1548929615
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Entity Type | Organization
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Legal Business Name | OLIVE BRANCH PHYSICAL THERAPY, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/15/2021
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 650 HOBSON WAY STE 104
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City | OXNARD
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State | CA
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Zip | 93030-6710
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Country | US
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Telephone | 619-717-1406
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Fax | 805-248-7238
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Provider Business Mailing Address
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Address Line | 650 HOBSON WAY STE 104
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City | OXNARD
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State | CA
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Zip | 93030-6710
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Country | US
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Telephone | 619-717-1406
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Fax | 805-248-7238
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Authorized Official
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Title or Position | PRESIDENT
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Name | YUNNUEN OLIVEROS
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Credential | PT, DPT.
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Telephone | 619-717-1406
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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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