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RUTH ELIZABETH LYLE PT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1124454541

Individual Registrant:
 RUTH ELIZABETH LYLE PT
Gender: F
Sole Proprietor

Location and contact information for practice:
315 BARNETTE ST #74638 FARIBANKS, AK 99707-4638 US
Tel: 907-388-0692  Fax: --

Contact information for business:
665 ASPEN HEIGHTS DR  FAIRBANKS, AK 99712-1111 US
Tel: 907-388-0692  Fax: --

Registration Information:
NPI: 1124454541
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
AK170

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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