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General NPI Number Information
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NPI Number | 1881879864
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPY SOLUTIONS
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 2595 W FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92545-4615
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Country | US
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Telephone | 951-487-9317
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Fax | 951-487-9371
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Provider Business Mailing Address
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Address Line | 2595 W FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92545-4615
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Country | US
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Telephone | 951-487-9317
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Fax | 951-487-9371
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. PETER CARRILLO
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Credential | MPT
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Telephone | 951-487-9317
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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 | PT26426
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License Number State | CA
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