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General NPI Number Information
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NPI Number | 1871897645
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Entity Type | Organization
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Legal Business Name | OREAL COTTON DOCTOR OF PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/07/2011
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 5950 CANOGA AVE STE 120
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-5035
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Country | US
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Telephone | 818-710-8901
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Fax | 818-306-3525
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Provider Business Mailing Address
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Address Line | PO BOX 19275
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City | NEWBURY PARK
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State | CA
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Zip | 91319-9275
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Country | US
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Telephone | 818-710-8901
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Fax | 818-306-3525
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Authorized Official
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Title or Position | PRESIDENT/THERAPIST
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Name | MR. O'REAL COTTON
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Credential | DPT
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Telephone | 818-710-8901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT33395
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License Number State | CA
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