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General NPI Number Information
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NPI Number | 1932764131
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Entity Type | Organization
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Legal Business Name | MY PHYSICAL THERAPY 2 GO
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Dates
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Enumeration Date | 05/03/2019
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 4241 JUTLAND DR STE 103
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City | SAN DIEGO
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State | CA
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Zip | 92117-3697
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Country | US
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Telephone | 858-224-2242
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Fax | 858-224-3713
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Provider Business Mailing Address
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Address Line | 4241 JUTLAND DR STE 103
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City | SAN DIEGO
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State | CA
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Zip | 92117-3697
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Country | US
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Telephone | 858-224-2242
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Fax | 858-224-3713
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Authorized Official
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Title or Position | OWNER
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Name | APRIL ANGELA DOUGLAS
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Credential |
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Telephone | 858-224-2242
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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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