Individual
MRS. CYNTHIA RUICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002010A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000491118
ANTHEM BCBS
IN
05
—
100357810A
—
IN
01
—
1424
PHP
IN
01
—
35179001202
CARESOURCE
IN
01
—
4423623
AETNA
IN
Enumeration date
12/08/2006
Last updated
12/28/2020
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