| NPI | 1467824532 |
|---|---|
| Former Name | JOY CELESTE RUCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012387) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN 10362) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2023-06-08 |