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General NPI Number Information
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NPI Number | 1699151308
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Entity Type | Organization
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Legal Business Name | BODYSYNC PHYSICAL THERAPY P.C.
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 2014 S SEPULVEDA BLVD STE 101
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City | LOS ANGELES
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State | CA
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Zip | 90025-5600
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Country | US
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Telephone | 323-479-0780
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Fax | 310-409-1483
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Provider Business Mailing Address
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Address Line | 2355 WESTWOOD BLVD # 1209
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City | LOS ANGELES
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State | CA
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Zip | 90064-2109
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Country | US
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Telephone | 323-479-0780
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Fax | 310-409-1483
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KAMESHA FELICE NABORS
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Credential |
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Telephone | 310-948-2061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 41664
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License Number State | CA
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