Individual
MR. PAUL M RUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S, ATC,PES
Contact information
Practice address
110 E MAIN ST, FORT KENT, ME 04743-1407
(207) 834-4117
(207) 834-3829
Mailing address
110 E MAIN ST, FORT KENT, ME 04743-1407
(207) 834-4117
(207) 834-3829
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT452
ME
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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