Individual
GINA RUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 ROBERTS RD, GILBERTSVILLE, PA 19525-8805
(267) 282-5095
Mailing address
1235 ROBERTS RD, GILBERTSVILLE, PA 19525-8805
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1756
SD
225100000X
Physical Therapist
Primary
2305209097
VA
225100000X
Physical Therapist
PT 003337
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487074209
—
SD
Enumeration date
04/19/2014
Last updated
01/24/2015
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