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General NPI Number Information
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NPI Number | 1659624930
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Entity Type | Organization
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Legal Business Name | HEALTH WORKS PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2790 HARBOR BLVD STE 300
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City | COSTA MESA
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State | CA
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Zip | 92626-5157
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Country | US
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Telephone | 714-485-7642
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Fax | 714-427-0785
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Provider Business Mailing Address
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Address Line | 2790 HARBOR BLVD STE 300
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City | COSTA MESA
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State | CA
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Zip | 92626-5157
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Country | US
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Telephone | 714-427-0803
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Fax | 714-427-0785
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | TRAVIS MORISOLI
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Credential | PT DPT OCS
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Telephone | 714-485-7642
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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 | PT28231
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License Number State | CA
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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 | 34431
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License Number State | CA
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