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NPI 1710602628

NPI 1710602628 : EMPOWER NEUROREHAB : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1710602628
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMPOWER NEUROREHAB 
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Dates
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    Enumeration Date     |    10/04/2022
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    Last Update Date     |    06/03/2024
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Provider Practice Location Address
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    Address Line         |    8996 MIRAMAR RD STE 301 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92126-4463
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    Country              |    US
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    Telephone            |    760-688-0601
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    Fax                  |    760-705-1331
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Provider Business Mailing Address
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    Address Line         |    8996 MIRAMAR RD STE 301 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92126-4463
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    Country              |    US
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    Telephone            |    760-688-0601
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    Fax                  |    760-705-1331
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Authorized Official
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    Title or Position    |    CO-OWNER, OCCUPATIONAL THERAPIST
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    Name                 |    DR. KATIE  BELL 
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    Credential           |    OTD, OTR/L, CBIS
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    Telephone            |    760-688-0601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Taxonomy #4
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    Taxonomy Code        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    225XN1300X
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    Taxonomy Name        |    Neurorehabilitation Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    225400000X
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    Taxonomy Name        |    Rehabilitation Practitioner
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    License Number       |    
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    License Number State |    
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