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General NPI Number Information
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NPI Number | 1932367232
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Entity Type | Organization
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Legal Business Name | WESTMINISTER PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 12921 FERN ST STE H
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City | GARDEN GROVE
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State | CA
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Zip | 92841-4300
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Country | US
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Telephone | 714-213-4955
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Fax |
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Provider Business Mailing Address
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Address Line | 12921 FERN ST STE H
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City | GARDEN GROVE
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State | CA
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Zip | 92841-4300
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Country | US
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Telephone | 714-213-4955
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SITIPON CHAVATIPN
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Credential | MPT
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Telephone | 714-213-4955
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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 | PT26575
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License Number State | CA
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