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General NPI Number Information
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NPI Number | 1588729529
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Entity Type | Organization
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Legal Business Name | ATALA PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 06/27/2019
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Provider Practice Location Address
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Address Line | 3222 GREY HAWK CT
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City | CARLSBAD
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State | CA
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Zip | 92010-6651
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Country | US
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Telephone | 760-727-9100
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Fax | 760-727-9122
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Provider Business Mailing Address
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Address Line | 3222 GREY HAWK CT
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City | CARLSBAD
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State | CA
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Zip | 92010-6651
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Country | US
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Telephone | 760-727-9100
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Fax | 760-727-9122
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Authorized Official
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Title or Position | OWNER, CEO
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Name | MS. TERRI BRUSSEAU KRAUS
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Credential | MPT, CCET
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Telephone | 760-727-9100
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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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