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NPI Code Detail

MEDICARE: RONNING PHYSICAL THERAPY, INC.

MEDICARE: RONNING PHYSICAL THERAPY, INC.
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
1174400000XSpecialistC232447CA

General Provider Information

NPI Number : 1477533313
Entity Type Code : Organization
Provider Name (Legal Business Name) : RONNING PHYSICAL THERAPY, INC.
Provider Business Mailing Address
First Line : 2505 CABRILLO COLLEGE DR
Second Line :
City : APTOS
State : CA
Zip : 95003-3166
Country : US
Telephone Number : 831-464-3901
Fax Number : 831-464-3010
Provider Business Practice Location Address
First Line : 2505 CABRILLO COLLEGE DR
Second Line :
City : APTOS
State : CA
Zip : 95003-3166
Country : US
Telephone Number : 831-464-3901
Fax Number : 831-464-3010
Authorized Official
Title or Position : PRESIDENT
Name : MR. MITCHELL C. RONNING
Credential : R.P.T.
Telephone Number : 831-464-3901
Provider Enumeration Date : 01/18/2006
Last Update Date : 08/22/2020

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