MEDICARE: MRS. CAITLIN MARIE RUGGIERO DPT

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
1	225100000X	Physical Therapist	24485	MD

General Provider Information

NPI Number	:	1467737353
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CAITLIN MARIE RUGGIERO DPT

Provider Business Mailing Address
First Line	:	PO BOX 392573
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9573
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9923 STEPHEN DECATUR HWY
Second Line	:
City	:	OCEAN CITY
State	:	MD
Zip	:	21842-9658
Country	:	US
Telephone Number	:	410-390-3490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2011
Last Update Date	:	10/07/2024

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