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Individual

JASON RUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4 PARK CENTER CT, OWINGS MILLS, MD 21117-5611
(410) 377-8900
Mailing address
2399 WALDEN WAY, MARRIOTTSVILLE, MD 21104-1068
(410) 967-7139

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4084
MD

Other

Enumeration date
04/22/2021
Last updated
04/22/2021
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