Individual
RUTH M NANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2120 E JOHNSON AVE, PENSACOLA, FL 32514-6028
(850) 494-4400
(850) 494-4993
Mailing address
PO BOX 17400, PENSACOLA, FL 32522-7400
(850) 494-4400
(850) 494-4993
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19890
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022614
TEXAS PTA LICENSE
TX
01
—
PTA19890
MEDICAL LICENSE
FL
Enumeration date
04/13/2007
Last updated
07/09/2007
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