Individual
ELIZABETH RUCKH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W4051 COUNTY ROAD NN, ELKHORN, WI 53121-4338
(262) 741-3249
Mailing address
9305 W NORTH AVE APT 3, WAUWATOSA, WI 53226-2670
(414) 475-9066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10415-24
WI
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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