Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 40QA01298100 | NJ |
NPI | 1053551515 |
---|---|
Provider Name | Ms. Kathryn Elizabeth Ruhnke |
First Address | Tinton Falls, NJ 07724-2716 |
Second Address | New Brunswick, NJ 08901-1942 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2009 |
Last Update Date | 24/02/2009 |