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General NPI Number Information
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NPI Number | 1790614717
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Entity Type | Organization
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Legal Business Name | TERRAN THROUGH MILESTONES LLC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/15/2026
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Provider Practice Location Address
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Address Line | 6234 ROSE LAKE AVE
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City | SAN DIEGO
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State | CA
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Zip | 92119-3343
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Country | US
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Telephone | 619-333-0780
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Fax |
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Provider Business Mailing Address
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Address Line | 6234 ROSE LAKE AVE
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City | SAN DIEGO
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State | CA
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Zip | 92119-3343
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Country | US
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Telephone | 619-333-0780
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Fax |
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Authorized Official
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Title or Position | OWNER / FOUNDER
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Name | TERRAN TRAVIS
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Credential | PT, DPT
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Telephone | 509-539-7458
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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