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General NPI Number Information
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NPI Number | 1831034214
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Entity Type | Organization
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Legal Business Name | PROVERBS PHYSICAL THERAPY & PERFORMANCE, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 21800 BARTON RD STE 101&109
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City | GRAND TERRACE
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State | CA
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Zip | 92313-4438
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Country | US
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Telephone | 951-776-7524
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Fax |
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Provider Business Mailing Address
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Address Line | 17341 ORANGE WAY
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City | FONTANA
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State | CA
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Zip | 92335-3932
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Country | US
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Telephone | 909-232-2661
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRENDA J MARQUEZ
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Credential | DPT
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Telephone | 909-232-2661
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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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