Individual
RUTH E. ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1841 PARK AVE, NEW YORK, NY 10035-1316
(646) 459-6091
Mailing address
1841 PARK AVE, NEW YORK, NY 10035-1316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001911-1
NY
Other
Enumeration date
10/23/2012
Last updated
11/08/2012
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