Individual
JON J RUTTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19917
MD
2251X0800X
Orthopedic Physical Therapist
19917
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19917
PHYSICAL THERAPIST
MD
Enumeration date
04/22/2008
Last updated
04/22/2008
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