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Individual

DR. CHANDLER P RUTERBUSCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
3627 UNIVERSITY BLVD S STE 550, JACKSONVILLE, FL 32216-7401
(904) 570-8604
(904) 458-4819
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT015096
GA
225100000X
Physical Therapist
Primary
PT32618
FL

Other

Enumeration date
07/28/2017
Last updated
01/07/2021
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