Individual
JAMES R RUETENIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
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
Update your record
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