Individual
JAMES R RUETENIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
220 RESERVOIR ST, STE 32, NEEDHAM, MA 02494-3133
(781) 400-1236
(781) 400-1247
Mailing address
220 RESERVOIR ST, STE 32, NEEDHAM, MA 02494-3133
(781) 400-1236
(781) 400-1247
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11464
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3036805
AETNA
MA
01
—
468211
TUFTS
MA
01
—
Y68098
BC
MA
Enumeration date
09/22/2006
Last updated
02/17/2017
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