Doctor Name: | MR. JOSHUA DAVID RUIZ |
NPI Number: | 1174881270 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PTA |
License Number: | A-0782 |
Business Practice Address: | 14030 Neff Rd Clio, MI - 484208806 |
Business Phone Number: | 8109193509 |
Business Fax Number: | |
Mailing Address: | 14030 Neff Rd, CLIO |
State: | MI |
Postal Code: | 484208806 |
Phone Number: | 8109193509 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2012 |
NPI Last Update Date: | 04/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | A-0782 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |