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General NPI Number Information
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NPI Number | 1659482990
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Entity Type | Organization
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Legal Business Name | MOBILITY PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 24551 RAYMOND WAY STE 125
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City | LAKE FOREST
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State | CA
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Zip | 92630-4478
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Country | US
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Telephone | 949-540-0301
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Fax | 949-540-0334
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Provider Business Mailing Address
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Address Line | 38 SHAMAN
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City | IRVINE
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State | CA
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Zip | 92618-8810
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Country | US
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Telephone | 949-540-0301
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Fax | 949-540-0334
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW BRIANT SCHATZ
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Credential | M.P.T.
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Telephone | 949-540-0301
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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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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT 25356
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License Number State | CA
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