Doctor Name: | JOAN L RUTENBERG |
NPI Number: | 1073540050 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CH 8779 |
Business Practice Address: | 612 Montgomery Ave Narberth, PA - 190722010 |
Business Phone Number: | 6106681002 |
Business Fax Number: | 6106681004 |
Mailing Address: | 7472 Lapaz Place, #101 BOCA RATON |
State: | FL |
Postal Code: | 33433 |
Phone Number: | 6102128700 |
Fax Number: | 5164474556 |
NPI Enumeration Date: | 06/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH 8779 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |