MICHAEL RUCKER

GRANTS PASS, OR
NPI1720751464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  9986)
Enumeration Date2021-07-28
Last Update Date2021-07-28
Business Address
MICHAEL RUCKER PTA
544 UNION AVE
GRANTS PASS, OR 97527-5544
Phone number: 541-955-0940
Mailing Address
MICHAEL RUCKER PTA
544 UNION AVE
GRANTS PASS, OR 97527-5544
Phone number:
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