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Organization

RANCHO PHYSICAL THERAPY, INC.

Active
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Organization

RANCHO PHYSICAL THERAPY, INC.

Active
Other names
Rancho Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
GABRIELA LITT (CREDENTIALING COORDINATOR)
(951) 696-9353
Entity
Organization

Contact information

Practice address
41990 COOK ST STE 602, PALM DESERT, CA 92211
(760) 674-0675
Mailing address
600 CENTRAL AVE STE C, LAKE ELSINORE, CA 92530-2740
(951) 696-9353
(951) 973-7216

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ60933Z
BLUE SHIELD
CA
Enumeration date
03/09/2006
Last updated
03/14/2022
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