LISA M RUCKER

SYRACUSE, NY
NPI1558924332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NY  005836-1)
Enumeration Date2019-04-17
Last Update Date2019-04-17
Business Address
LISA M RUCKER
203 BROOKFORD RD
SYRACUSE, NY 13224-1701
Phone number: 215-205-8072
Mailing Address
LISA M RUCKER
203 BROOKFORD RD
SYRACUSE, NY 13224-1701
Phone number: