Individual
PATRICK RUPPE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT017782
PA
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01279000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2578092000
INDEPENDENCE BC PROVIDE #
—
01
—
RU 1780451
HIGHMARK BS PROV. #
—
Enumeration date
08/16/2006
Last updated
04/22/2013
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