Individual
PATRICIA RUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 COVE CT W, WINTER HAVEN, FL 33880-5062
(863) 604-1055
Mailing address
3409 COVE CT W, WINTER HAVEN, FL 33880-5062
(863) 604-1055
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA21316
FL
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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