Organization
ONCOLOGY AND ORTHOPEDIC PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAYE RUETH PT (OWNER)
(239) 278-1155
Entity
Organization
Contact information
Practice address
7700 TRAIL BLVD, SUITE 107, NAPLES, FL 34108-2856
(239) 278-1155
(239) 278-1159
Mailing address
8805 TAMIAMI TRL N, SUITE 211, NAPLES, FL 34108-2525
(239) 278-1155
(239) 278-1159
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT23764
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT23764
LICENSE
FL
Enumeration date
02/19/2013
Last updated
02/19/2013
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