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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)
(951) 696-9353
Entity
Organization

Contact information

Practice address
3142 VISTA WAY STE 101, OCEANSIDE, CA 92056-3627
(760) 231-7972
(760) 630-5367
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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1598733271
CA
01
ZZZ60303Z
BLUE SHIELD
CA
Enumeration date
03/09/2006
Last updated
01/16/2026
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