Individual
BIFF RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
520 E OAK ST, MC RAE, GA 31055-4347
(229) 860-0314
Mailing address
520 E OAK ST, MC RAE, GA 31055-4347
(229) 860-0314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003185
GA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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