Individual
PABLO RUIZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
250 N LITCHFIELD RD, STE 155, GOODYEAR, AZ 85338-1333
(623) 882-9787
Mailing address
250 N LITCHFIELD RD, STE 155, GOODYEAR, AZ 85338-1333
(623) 882-9787
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1078
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0154410
DEPT OF LABOR
AZ
01
—
1078
TEXAS DEPT OF LABOR
AZ
01
—
2Z2985
HEALTHNET
AZ
01
—
6400097
EVERCARE
AZ
01
—
7499498
AETNA
AZ
01
—
783002
MERCY CARE PLAN
AZ
01
—
AZ0299850
BCBS
AZ
Enumeration date
06/17/2005
Last updated
10/12/2007
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