Coral C Rucker
Rehabilitation Practitioner
940 Avenue 64
Pasadena
, California 91105-2711
Coral C Rucker
Rehabilitation Practitioner
940 Avenue 64
Pasadena
, California 91105-2711
(323) 978-1263
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About
Features
Specialties
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Coral C Rucker
- 940 Avenue 64
- Pasadena, CA
- Zip : 91105-2711
- Fax : (323) 978-1263
- Phone : (323) 543-2800
Second Address
- Coral C Rucker
- 940 Avenue 64
- Pasadena, CA
- Zip : 91105-2711
- Fax : (323) 978-1263
- Phone : (323) 543-2800
Reviews
FAQs
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What type of doctor is Coral C Rucker
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Where is Coral C Rucker ’s practice located?
What is Coral C Rucker ’s gender?
Is Coral C Rucker a sole practitioner?
Is Coral C Rucker accepting new patients?
What languages does Coral C Rucker speak?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1033756200 |
|---|---|
| Provider Name | Coral C Rucker |
| First Address | Pasadena, CA 91105-2711 |
| Second Address | Pasadena, CA 91105-2711 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2019 |
| Last Update Date | 05/12/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.