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1558924332
LISA M RUCKER
SYRACUSE, NY
NPI
1558924332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 005836-1)
Enumeration Date
2019-04-17
Last Update Date
2019-04-17
Business Address
LISA M RUCKER
203 BROOKFORD RD
SYRACUSE, NY 13224-1701
Phone number: 215-205-8072
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Mailing Address
LISA M RUCKER
203 BROOKFORD RD
SYRACUSE, NY 13224-1701
Phone number:
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