Individual
TORBEN ROBERT ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
825 JONES RD, YUBA CITY, CA 95991-6124
(530) 673-0567
Mailing address
825 JONES RD, YUBA CITY, CA 95991-6124
(530) 674-9345
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT25705
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171680700
US DEPT OF LABOR
CA
01
—
680397878
TAX ID #
CA
01
—
ZZZ59255Z
BLUE SHIELD
CA
Enumeration date
10/16/2006
Last updated
05/20/2016
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