# RANCHO PHYSICAL THERAPY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rancho Physical Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578815999
- **Authorized official:** GABRIELA LITT (CREDENTIALING)
- **Authorized official phone:** (951) 696-9353

## Contact information

- **Practice address:** 277 RANCHEROS DR, STE. 150, SAN MARCOS, CA 92069-2976
- **Practice address phone:** (760) 752-1011
- **Practice address fax:** (760) 752-1311
- **Mailing address:** 600 CENTRAL AVE STE C, LAKE ELSINORE, CA 92530-2740
- **Mailing address phone:** (951) 696-9353
- **Mailing address fax:** (951) 973-7216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/09/2012
- **Last updated:** 03/14/2022