Individual
RUGGIERO S CANIZARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1310 COBURG ROAD #5, EUGENE, OR 97401
(541) 345-7532
(541) 345-6692
Mailing address
1310 COBURG ROAD #5, EUGENE, OR 97401
(541) 345-7532
(541) 345-6692
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2241
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041066
—
OR
01
—
084171028
BCBS
OR
01
—
P00694410
RAILROAD MEDICAR PTAN
OR
Enumeration date
02/27/2008
Last updated
04/15/2020
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