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General NPI Number Information
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NPI Number | 1558892752
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Entity Type | Organization
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Legal Business Name | MOBILE ORTHOPEDIC PHYSICAL THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 03/21/2017
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Last Update Date | 01/05/2023
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Provider Practice Location Address
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Address Line | 885 CANARIOS CT STE 110
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City | CHULA VISTA
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State | CA
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Zip | 91910-7877
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Country | US
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Telephone | 619-656-5102
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Fax | 619-656-5143
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Provider Business Mailing Address
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Address Line | 885 CANARIOS CT STE 110
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City | CHULA VISTA
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State | CA
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Zip | 91910-7877
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Country | US
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Telephone | 619-656-5102
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Fax | 619-656-5143
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Authorized Official
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Title or Position | DIRECTOR
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Name | CURTIS HILL
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Credential | PT
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Telephone | 619-656-5102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT2500
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT24945
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License Number State | CA
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