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Individual

JACQUELYN MARIE RUEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, OCS

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9265
MN
2251X0800X
Orthopedic Physical Therapist
012636
OH
2251X0800X
Orthopedic Physical Therapist
09309
IA
2251X0800X
Orthopedic Physical Therapist
9265
MN

Other

Enumeration date
05/21/2008
Last updated
06/23/2021
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