Provider Demographics
NPI:1194426783
Name:SRAN PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:SRAN PHYSICAL THERAPY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:BHUPINDER JIT
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:SRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:775-225-0830
Mailing Address - Street 1:3807 ANDERS WAY
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95677-2582
Mailing Address - Country:US
Mailing Address - Phone:775-225-0830
Mailing Address - Fax:
Practice Address - Street 1:3807 ANDERS WAY
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95677-2582
Practice Address - Country:US
Practice Address - Phone:775-225-0830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty