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General NPI Number Information
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NPI Number | 1770734568
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Entity Type | Organization
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Legal Business Name | THERA TOUCH PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 10/10/2008
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 6360 WILSHIRE BLVD SUITE 414
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City | LOS ANGELES
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State | CA
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Zip | 90048-5603
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Country | US
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Telephone | 323-852-1882
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Fax | 323-852-1828
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Provider Business Mailing Address
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Address Line | 6360 WILSHIRE BLVD SUITE 414
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City | LOS ANGELES
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State | CA
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Zip | 90048-5603
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Country | US
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Telephone | 323-852-1882
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Fax | 323-852-1828
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MARIA CECILIA GODOY
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Credential |
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Telephone | 818-281-5906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 27482
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License Number State | CA
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