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General NPI Number Information
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NPI Number | 1568350726
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Entity Type | Organization
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Legal Business Name | FOREMOTION PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 1328 4TH ST
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2810
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Country | US
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Telephone | 845-625-8808
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Fax |
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Provider Business Mailing Address
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Address Line | 274 ORANGE BLOSSOM LN
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2506
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER FROST
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Credential |
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Telephone | 845-625-8808
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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 |
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