NPI 1528307204

Jacqueline Ruiz

Practitioner Mechanotherapist Edinboro, PA

Practice location

Address: 201a Waterford St, Edinboro, PA 16412-2226
Phone: (814) 734-5000
Mailing address: PO Box 187, Fairview, PA 16415-0187

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MSG001698 (PA)

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Registry record

NPI: 1528307204
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jan 2013
Record last updated: 31 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.