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Organization
OLD TOWN PHYSICAL THERAPY CO
Active
Organization
OLD TOWN PHYSICAL THERAPY CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIANO E CHAVEZ CCC-SLP (PRESIDENT)
(619) 818-8609
Entity
Organization
Contact information
Practice address
600 TIGER LILY LN, IMPERIAL, CA 92251-8930
(619) 818-8609
Mailing address
600 TIGER LILY LN, IMPERIAL, CA 92251-8930
(619) 818-8609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
04/13/2026
Last updated
07/22/2026
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