Individual
RUTH S ECKENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1521 E RUSK ST, JACKSONVILLE, TX 75766-5505
(903) 586-8691
(903) 586-4138
Mailing address
1521 E RUSK ST, JACKSONVILLE, TX 75766-5505
(903) 586-8691
(903) 586-4138
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2039600
TX
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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