Individual
JACQUELYN MARIE RUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, OCS
Contact information
Practice address
1939 MINNEHAHA AVE W STE 100, SAINT PAUL, MN 55104-1033
(651) 348-7428
(651) 348-7432
Mailing address
7581 9TH ST N STE 100, OAKDALE, MN 55128-6635
(651) 748-4338
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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