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General NPI Number Information
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NPI Number | 1720104078
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY ASSOCIATES OF OROVILLE, INC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 07/10/2012
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Provider Practice Location Address
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Address Line | 2222 5TH AVE
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City | OROVILLE
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State | CA
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Zip | 95965-5816
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Country | US
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Telephone | 530-534-5452
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Fax | 530-534-8412
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Provider Business Mailing Address
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Address Line | PO BOX 5533
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City | OROVILLE
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State | CA
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Zip | 95966-0533
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Country | US
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Telephone | 530-534-5452
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Fax | 530-534-8412
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VALERIE MILANA WUCHENICH-NELSON
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Credential | PHYSICAL THERAPIST
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Telephone | 530-534-5452
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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 | PT7347
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License Number State | CA
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