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Organization
ELITE PERFORMANCE SPORTS AND PHYSICAL THERAPY, INC.
Active
Organization
ELITE PERFORMANCE SPORTS AND PHYSICAL THERAPY, INC.
Active
Other names
Elite Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS J GULBRANDSON MPT (OWNER)
(916) 765-5661
Entity
Organization
Contact information
Practice address
6526 LONETREE BLVD, SUITE 200, ROCKLIN, CA 95765-5886
(916) 772-2909
(916) 772-2989
Mailing address
6526 LONETREE BLVD, SUITE 200, ROCKLIN, CA 95765-5886
(916) 772-2909
(916) 772-2989
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28076
CA
2251X0800X
Orthopedic Physical Therapist
PT28076
CA
Other
Enumeration date
10/29/2014
Last updated
12/08/2014
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