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1881925600 NPI number — TEAM THERAPY AND REHABILITATION, INC

NPI Number: 1881925600
Health Care Provider/Practitioner: TEAM THERAPY AND REHABILITATION, INC

Information about “1881925600” NPI (TEAM THERAPY AND REHABILITATION, INC) exists in 1881925600 in HTML format HTML  |  1881925600 in plain Text format TXT  |  1881925600 in PDF (Portable Document Format) PDF  |  1881925600 in an XML format XML  formats.

NPI Number : 1881925600 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881925600",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TEAM THERAPY AND REHABILITATION, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "13024 HESPERIA RD",
    "SecondLineMailingAddress": "SUITE 101",
    "MailingAddressCityName": "VICTORVILLE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92395-8302",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "760-951-4811",
    "MailingAddressFaxNumber": "760-951-4833",
    "FirstLinePracticeLocationAddress": "13024 HESPERIA RD",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "VICTORVILLE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92395-8302",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "760-951-4811",
    "PracticeLocationAddressFaxNumber": "760-951-4833",
    "EnumerationDate": "01/18/2010",
    "LastUpdateDate": "01/18/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ADESIDA",
    "AuthorizedOfficialFirstName": "ANDREW",
    "AuthorizedOfficialMiddleName": "ADEDAPO",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "P.A.",
    "AuthorizedOfficialTelephoneNumber": "760-951-4811",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QP2000X",
          "TaxonomyName": "Physical Therapy Clinic/Center",
          "LicenseNumber": "AC12285",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2000X",
          "TaxonomyName": "Physical Therapy Clinic/Center",
          "LicenseNumber": "DC27742",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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