Individual
ELIZABETH AUDREY RUCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5249 DUKE ST, SUITE 203, ALEXANDRIA, VA 22304-2926
(703) 370-2970
Mailing address
1001 N VERMONT ST, APT #409, ARLINGTON, VA 22201-4763
(703) 243-0765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207257
VA
2251N0400X
Neurology Physical Therapist
2305207257
VA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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