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NPI Code Detail

MEDICARE: RUTCHEBETH CONTRERAS PT

MEDICARE: RUTCHEBETH CONTRERAS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist1099422TX

General Provider Information

NPI Number : 1407086747
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTCHEBETH CONTRERAS PT
Provider Business Mailing Address
First Line : 5121 NORTH JASMINE COURT
Second Line :
City : MCALLEN
State : TX
Zip : 78501-3370
Country : US
Telephone Number : 956-341-6978
Fax Number :
Provider Business Practice Location Address
First Line : 3511 N WARE RD
Second Line :
City : MCALLEN
State : TX
Zip : 78501-3370
Country : US
Telephone Number : 956-681-7486
Fax Number : 956-668-7486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2009
Last Update Date : 07/21/2009

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