Doctor Name: | MS. RUTH ANN FREEMAN |
NPI Number: | 1306044821 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 8324 |
Business Practice Address: | 166 Bryan Cave Rd South Daytona, FL - 321194405 |
Business Phone Number: | 3863048624 |
Business Fax Number: | |
Mailing Address: | 166 Bryan Cave Rd, SOUTH DAYTONA |
State: | FL |
Postal Code: | 321194405 |
Phone Number: | 3863048624 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT 8324 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |