Individual
RUTH-ALEXANDRIA MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
308 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL 32548-5217
(850) 217-7643
Mailing address
308 MIRACLE STRIP PKWY SW, FORT WALTON BEACH, FL 32548-5217
(850) 217-7643
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
05/19/2020
Last updated
06/23/2021
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