Individual
MARYANN BURKE DE RUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6401919
MEDICA
—
01
—
69D76BU
BCBS
MN
01
—
HP43081
HEALTHPARTNERS
—
Enumeration date
04/27/2006
Last updated
03/26/2026
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