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NPI 1720319692

NPI 1720319692 : IN TOUCH PHYSICAL THERAPY : THOUSAND OAKS, CA

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General NPI Number Information
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    NPI Number           |    1720319692
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    Entity Type          |    Organization 
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    Legal Business Name  |    IN TOUCH PHYSICAL THERAPY 
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Dates
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    Enumeration Date     |    01/16/2010
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    Last Update Date     |    01/16/2010
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Provider Practice Location Address
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    Address Line         |    1329 E THOUSAND OAKS BLVD 
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    City                 |    THOUSAND OAKS
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    State                |    CA
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    Zip                  |    91362-2824
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    Country              |    US
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    Telephone            |    805-551-0939
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11224 BROADVIEW DR 
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    City                 |    MOORPARK
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    State                |    CA
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    Zip                  |    93021-3723
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    Country              |    US
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    Telephone            |    805-551-0939
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MRS. KATHY JANE JOHNSON 
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    Credential           |    RPT
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    Telephone            |    805-551-0939
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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       |    PT10753
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    License Number State |    CA
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