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General NPI Number Information
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NPI Number | 1790543890
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Entity Type | Organization
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Legal Business Name | ONE-ON-ONE PHYSICAL THERAPY
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Dates
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Enumeration Date | 03/12/2024
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Last Update Date | 03/14/2024
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Provider Practice Location Address
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Address Line | 1233 CAMINO DEL RIO S # 283
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City | SAN DIEGO
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State | CA
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Zip | 92108-3577
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Country | US
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Telephone | 949-307-4654
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Fax |
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Provider Business Mailing Address
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Address Line | 4365 MONTALVO ST APT 3
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City | SAN DIEGO
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State | CA
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Zip | 92107-1100
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Country | US
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Telephone | 949-307-4654
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TYLER SEPPANEN
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Credential |
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Telephone | 949-307-4654
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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 |
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License Number State |
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