Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251S0007X | Physical Therapist - Sports | AT56 | OK |
Y | 2251X0800X | Physical Therapist - Orthopedic | PT946 | OK |
NPI | 1457359283 |
---|---|
Provider Name | David E Ruhl |
First Address | Oklahoma City, OK 73114-7408 |
Second Address | Oklahoma City, OK 73114-7408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 09/08/2019 |