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General NPI Number Information
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NPI Number | 1568004984
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 2800 NEILSON WAY APT 604
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City | SANTA MONICA
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State | CA
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Zip | 90405-4034
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Country | US
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Telephone | 347-204-3335
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 NEILSON WAY APT 604
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City | SANTA MONICA
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State | CA
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Zip | 90405-4034
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Country | US
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Telephone | 347-204-3335
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN T DAVI
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Credential | PT, DPT, RYT
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Telephone | 347-204-3335
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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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