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General NPI Number Information
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NPI Number | 1477533313
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Entity Type | Organization
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Legal Business Name | RONNING PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2505 CABRILLO COLLEGE DR
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City | APTOS
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State | CA
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Zip | 95003-3166
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Country | US
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Telephone | 831-464-3901
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Fax | 831-464-3010
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Provider Business Mailing Address
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Address Line | 2505 CABRILLO COLLEGE DR
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City | APTOS
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State | CA
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Zip | 95003-3166
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Country | US
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Telephone | 831-464-3901
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Fax | 831-464-3010
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MITCHELL C. RONNING
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Credential | R.P.T.
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Telephone | 831-464-3901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C232447
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License Number State | CA
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