Individual
LISA RUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S CAMPBELL ST, BURGAW, NC 28425-5011
(910) 259-6007
Mailing address
121 KOLBE CT, APARTMENT 307, WILMINGTON, NC 28403-1557
(845) 741-5430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5987
NC
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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