Kelly Ruby PT

NPI 1174531412 - Specialist - 174400000X

NPI Details
NPI 1174531412
Gender Female
Enumeration Date 08/03/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
137 CEDAR AVENUE
LAKE VILLA IL, 60046, US
Phone (847) 265-7300
Fax (847) 265-7301
Business Location
137 CEDAR AVENUE
PO BOX 764
LAKE VILLA IL, 60046, US
Phone (847) 265-7300
Fax (847) 265-7301
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Mrs. Kelly Ruby PT NPI is 1174531412, taxonomy code is 174400000X Kelly Ruby PT physically located at 137 Cedar Avenue, Lake Villa IL, 60046. NPI Number Kelly Ruby PT has the Individual type.

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1174531412 NPI number is provided on an as is basis without warranty of any kind. 1174531412 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Ruby PT are for informational purposes only.