Individual
PETER RUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
505 ELM ST NE, ALBUQUERQUE, NM 87102-2500
(505) 727-4700
Mailing address
1841 CHICOMA RD NE, RIO RANCHO, NM 87144-2500
(505) 492-9897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-1203
NM
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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