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Organization
RANCHO PHYSICAL THERAPY, INC.
Active
Organization
RANCHO PHYSICAL THERAPY, INC.
Active
Other names
Rancho Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIELA LITT (CREDENTIALING MANAGER)
(951) 696-9353
Entity
Organization
Contact information
Practice address
26881 JEFFERSON AVE STE B, MURRIETA, CA 92562-9180
(951) 698-7720
(951) 698-7451
Mailing address
30428 HAUN RD STE 810, MENIFEE, CA 92584-6824
(951) 696-9353
(951) 973-7216
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225XH1200X
Hand Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245208990
—
CA
01
—
ZZZ38048Z
BLUE SHIELD PT
CA
01
—
ZZZ60910Z
BLUE SHIELD OT
CA
01
—
ZZZ64141Z
BLUE SHIELD SP
CA
Enumeration date
03/09/2006
Last updated
05/22/2026
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