Individual
MS. RENEE' WENNELL RUPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
31 W GROVE ST, MIDDLEBORO, MA 02346-1806
(508) 947-5195
Mailing address
132 HOWLAND RD, LAKEVILLE, MA 02347-2214
(508) 946-1414
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
000706-1
NY
225200000X
Physical Therapy Assistant
Primary
1136
MA
225200000X
Physical Therapy Assistant
PTA000517
FL
Other
Enumeration date
10/14/2007
Last updated
10/14/2007
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