Individual
MELISSA MARIE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
625 STEVENS ST, MEDFORD, OR 97504-6719
(541) 779-3551
Mailing address
PO BOX 812, PHOENIX, OR 97535-0812
(520) 907-9356
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8513
OR
Other
Enumeration date
06/14/2008
Last updated
06/14/2008
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