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General NPI Number Information
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NPI Number | 1790937456
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Entity Type | Organization
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Legal Business Name | CREATIVE ARTS PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1106 N LA CIENEGA BLVD STE 203
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2493
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Country | US
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Telephone | 310-659-1077
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Fax | 310-659-1163
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Provider Business Mailing Address
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Address Line | 1106 N LA CIENEGA BLVD STE 203
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-2493
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Country | US
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Telephone | 310-659-1077
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Fax | 310-659-1163
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Authorized Official
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Title or Position | OWNER, CEO
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Name | MELINDA BRYAN
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Credential | PT, DPT
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Telephone | 310-659-1077
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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 | PT14633
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License Number State | CA
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