Individual
MRS. ERICKA RUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS, CBIS
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-6750
Mailing address
1278 MINK RANCH RD, PORT WASHINGTON, WI 53074-9783
(262) 365-9193
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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