Elite Performance Sports and Physical Therapy, Inc.

NPI #1457756702 in Rocklin, California

Provider Information

NPI Number: 1457756702
Entity Type: Organization
Organization Name: Elite Performance Sports and Physical Therapy, Inc.
Primary Specialty: Physical Therapist
Enumeration Date: Oct 29, 2014
Last Updated: Dec 8, 2014

Practice Location

Address: 6526 LONETREE BLVD
Address 2: SUITE 200
City: Rocklin
State: California
ZIP Code: 95765-5886
Phone: (916) 772-2909

Authorized Official

Name: MR. CHRIS J GULBRANDSON, MPT
Title: OWNER
Phone: (916) 765-5661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist	225100000X	Primary

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