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General NPI Number Information
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NPI Number | 1972951903
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Entity Type | Organization
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Legal Business Name | SPECIALIZED PHYSICAL THERAPY SOLUTIONS, INC.
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2200 LAFAYETTE ST STE 4
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City | SANTA CLARA
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State | CA
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Zip | 95050-2915
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Country | US
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Telephone | 408-753-9988
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Fax | 408-899-2656
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Provider Business Mailing Address
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Address Line | 2200 LAFAYETTE ST STE 4
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City | SANTA CLARA
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State | CA
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Zip | 95050-2915
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Country | US
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Telephone | 408-753-9988
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Fax | 408-899-2656
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | LUC NGUYEN
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Credential | DPT
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Telephone | 408-396-5601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT33379
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License Number State | CA
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