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General NPI Number Information
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NPI Number | 1912237439
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Entity Type | Organization
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Legal Business Name | HM PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 01/06/2010
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Provider Practice Location Address
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Address Line | 21240 MAYAN DR
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City | CHATSWORTH
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State | CA
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Zip | 91311-1476
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Country | US
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Telephone | 818-522-4760
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Fax | 646-514-3467
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Provider Business Mailing Address
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Address Line | 21240 MAYAN DR
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City | CHATSWORTH
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State | CA
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Zip | 91311-1476
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Country | US
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Telephone | 818-522-4760
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Fax | 646-514-3467
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Authorized Official
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Title or Position | PRESIDENT/PHYSICAL THERAPIST
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Name | HEATHER MARIE ANDERSEN
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Credential | M.P.T.
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Telephone | 818-522-4760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | PT27940
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License Number State | CA
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