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NPI 1750521480

NPI 1750521480 : ABRAHANO PHYSICAL THERAPY SERVICES, INC. : DOWNEY, CA

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General NPI Number Information
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    NPI Number           |    1750521480
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABRAHANO PHYSICAL THERAPY SERVICES, INC. 
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Dates
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    Enumeration Date     |    02/20/2009
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    Last Update Date     |    02/20/2009
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Provider Practice Location Address
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    Address Line         |    8529 FLORENCE AVE 
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    City                 |    DOWNEY
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    State                |    CA
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    Zip                  |    90240-4014
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    Country              |    US
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    Telephone            |    562-862-8755
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    Fax                  |    562-861-8850
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Provider Business Mailing Address
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    Address Line         |    8529 FLORENCE AVE 
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    City                 |    DOWNEY
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    State                |    CA
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    Zip                  |    90240-4014
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    Country              |    US
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    Telephone            |    562-862-8755
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    Fax                  |    562-861-8850
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    MR. ANTONIO M. ABRAHANO 
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    Credential           |    R. P. T.
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    Telephone            |    562-862-8755
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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       |    PT 11516
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    License Number State |    CA
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