Individual
RUTH MARIE CHIRICHELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PYA
Contact information
Practice address
12605 TIMBER PINE TR, ADDRESS 2, WELLINGTON, FL 33414-4706
(561) 436-4316
Mailing address
12605 TIMBER PINE TR, ADDRESS 2, WELLINGTON, FL 33414-4706
(561) 436-4316
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23885
FL
Other
Enumeration date
08/04/2019
Last updated
08/04/2019
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