Individual
RUTH IDALIA QUEZADA JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
110 W WISSAHICKON AVE, FLOURTOWN, PA 19031-1802
(844) 334-3818
Mailing address
111 QUINCE DR, HATBORO, PA 19040-1919
(915) 726-8517
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI005763
PA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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