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BIFF RUTHERFORD PTA
>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1427442524
Individual Registrant: BIFF RUTHERFORD PTA
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
520 E OAK ST MC RAE, GA 31055-4347 US
Tel: 229-860-0314 Fax: --
Tel: 229-860-0314 Fax: --
Contact information for business:
520 E OAK ST MC RAE, GA 31055-4347 US
Tel: 229-860-0314 Fax: --
Tel: 229-860-0314 Fax: --
Registration Information:
NPI: 1427442524
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapy Assistant | GA | PTA003185 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
