Healthcare Provider Details

I. General information

NPI: 1922732825
Provider Name (Legal Business Name): BROOKE FERRIN RUGGLES DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2022
Last Update Date: 11/06/2024
Certification Date: 11/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 SWIFTWATER RD
WOODSVILLE NH
03785-1421
US

IV. Provider business mailing address

90 SWIFTWATER RD
WOODSVILLE NH
03785-1421
US

V. Phone/Fax

Practice location:
  • Phone: 603-747-9311
  • Fax:
Mailing address:
  • Phone: 603-747-9311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number5010
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: