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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)
(951) 696-9353
Entity
Organization
Contact information
Practice address
11276 5TH ST STE 400, RANCHO CUCAMONGA, CA 91730-0923
(909) 481-0437
(909) 481-0837
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
—
1689905325
—
CA
01
—
ZZZ60929Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/20/2010
Last updated
09/01/2026
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