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NPI Code Detail

MEDICARE: TORBEN ROBERT ULRICH P.T.

MEDICARE: TORBEN ROBERT ULRICH P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT25705CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1171680700OTHERCAUS DEPT OF LABOR
2ZZZ59255ZOTHERCABLUE SHIELD
3680397878OTHERCATAX ID #

General Provider Information

NPI Number : 1952481046
Entity Type Code : Individual
Provider Name (Legal Business Name) : TORBEN ROBERT ULRICH P.T.
Provider Business Mailing Address
First Line : 825 JONES RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6124
Country : US
Telephone Number : 530-674-9345
Fax Number :
Provider Business Practice Location Address
First Line : 825 JONES RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6124
Country : US
Telephone Number : 530-673-0567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 05/20/2016

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