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NPI 1619859147

NPI 1619859147 : ADL PHYSICAL THERAP PROFESSIONAL CORPORATION : HUNTINGTON BEACH, CA

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General NPI Number Information
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    NPI Number           |    1619859147
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADL PHYSICAL THERAP PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    07/24/2025
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    Last Update Date     |    07/24/2025
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Provider Practice Location Address
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    Address Line         |    17171 APEL LN 
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    City                 |    HUNTINGTON BEACH
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    State                |    CA
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    Zip                  |    92649-4601
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    Country              |    US
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    Telephone            |    626-808-3424
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5132 YORK BLVD UNIT 50274 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90050-1104
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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    |    OWNER
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    Name                 |     ADAM  LAW 
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    Credential           |    DPT
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    Telephone            |    626-808-3424
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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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