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General NPI Number Information
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NPI Number | 1609755776
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Entity Type | Organization
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Legal Business Name | PROTEA PHYSICAL THERAPY & WELLNESS
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 130 S CHAPARRAL CT STE 140
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City | ANAHEIM
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State | CA
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Zip | 92808-2238
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Country | US
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Telephone | 909-265-3584
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Fax |
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Provider Business Mailing Address
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Address Line | 130 S CHAPARRAL CT STE 140
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City | ANAHEIM
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State | CA
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Zip | 92808-2238
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Country | US
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Telephone | 714-349-2356
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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. LESLEY LINDA RIVERA
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Credential | DPT
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Telephone | 714-349-2356
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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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