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General NPI Number Information
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NPI Number | 1912288309
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Entity Type | Organization
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Legal Business Name | RANCHO PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 6850 BROCKTON AVE STE 212
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City | RIVERSIDE
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State | CA
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Zip | 92506-3815
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Country | US
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Telephone | 951-534-0600
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Fax | 951-534-0605
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Provider Business Mailing Address
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Address Line | 30428 HAUN RD STE 810
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City | MENIFEE
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State | CA
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Zip | 92584-6824
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Country | US
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Telephone | 951-696-9353
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Fax | 951-973-7216
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | GABRIELA LITT
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Credential |
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Telephone | 951-696-9353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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