| Rancho Physical Therapy, Inc. | |
|
12402 Industrial Blvd Ste B2-b5, Victorville, CA 92395-5871 | |
| (760) 955-6061 | |
| (760) 955-6062 |
| Full Name | Rancho Physical Therapy, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 12402 Industrial Blvd Ste B2-b5, Victorville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881722999 | NPI | - | NPPES |
| 1881722999 | Medicaid | CA | |
| ZZZ69641Z | Other | CA | BLUE SHIELD PT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rancho Physical Therapy, Inc. 600 Central Ave Ste C, Lake Elsinore, CA 92530-2740 Ph: (951) 696-9353 | Rancho Physical Therapy, Inc. 12402 Industrial Blvd Ste B2-b5, Victorville, CA 92395-5871 Ph: (760) 955-6061 |
Joanne Ingram, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Janette Joyce Mary Coppotelli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Nicholas Kasischke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394 Phone: 760-245-6495 | |
Amanda Shin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-245-8828 | |
Karley Ruble, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395 Phone: 800-489-6905 | |
Lauretta Marie Rustad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 | |
Jeremy J Mumu, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062 |