Individual
JON J RUTTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
8415 BELLONA LN, SUITE 201, BALTIMORE, MD 21204-2055
(410) 821-7775
(410) 821-1320
Mailing address
8415 BELLONA LN, SUITE 201, BALTIMORE, MD 21204-2055
(410) 821-7775
(410) 821-1320
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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