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NPI Code Detail

MEDICARE: RUBY STRAEHLEY PT

MEDICARE:   RUBY  STRAEHLEY  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
1225100000XPhysical TherapistPT23549CA

General Provider Information

NPI Number : 1629048822
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUBY STRAEHLEY PT
Provider Business Mailing Address
First Line : 2350 W EL CAMINO REAL
Second Line : 2ND FLOOR
City : MOUNTAIN VIEW
State : CA
Zip : 94040-6201
Country : US
Telephone Number : 707-303-6424
Fax Number :
Provider Business Practice Location Address
First Line : 1529 SEABRIGHT AVE
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95062-2528
Country : US
Telephone Number : 831-458-6230
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 10/07/2011

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