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General NPI Number Information
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NPI Number | 1932070257
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Entity Type | Organization
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Legal Business Name | IN PHYSIO, INC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 6329 SULTANA AVE
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City | SAN GABRIEL
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State | CA
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Zip | 91775-2031
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Country | US
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Telephone | 626-233-0445
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 KENTON DR
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City | MONTEREY PARK
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State | CA
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Zip | 91755-5831
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN WONG
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Credential | PT, DPT, CFMT
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Telephone | 626-233-0445
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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 |
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License Number State |
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