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Individual

MRS. BROOKE BOWER RUGGLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3008 SOMERSET DR, CHARLOTTE, NC 28209-1436
(704) 258-4801
Mailing address
3008 SOMERSET DR, CHARLOTTE, NC 28209-1436
(704) 258-4801

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9239
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00323870
RAILROAD MEDICARE
Enumeration date
06/14/2006
Last updated
03/04/2022
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