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DR. RUTH E ROTERT PT, DPT
Pediatrics >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1679740609
Individual Registrant:DR. RUTH E ROTERT PT, DPT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
25523 442ND AVE SALEM, SD 57058-5519 US
Tel: 605-425-2582 Fax: 605-425-2582
Tel: 605-425-2582 Fax: 605-425-2582
Contact information for business:
25523 442ND AVE SALEM, SD 57058-5519 US
Tel: 605-425-2582 Fax: 605-425-2582
Tel: 605-425-2582 Fax: 605-425-2582
Registration Information:
NPI: 1679740609
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Pediatrics | SD | 0119 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
