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General NPI Number Information
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NPI Number | 1639035280
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Entity Type | Organization
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Legal Business Name | IPA PHYSIO LONG BEACH PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 4918 E 2ND ST
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City | LONG BEACH
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State | CA
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Zip | 90803-5318
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Country | US
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Telephone | 949-232-1955
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Fax |
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Provider Business Mailing Address
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Address Line | 3432 E 1ST ST APT 6
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City | LONG BEACH
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State | CA
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Zip | 90803-2699
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Country | US
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Telephone | 949-232-1955
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Fax |
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Authorized Official
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Title or Position | PARTNER/DIRECTOR/PHYSICAL THERAPIST
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Name | DR. JESSICA MIEKE CLAUS WORKMAN
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Credential | PT,DPT,FFMT,FAAOMPT
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Telephone | 949-232-1955
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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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