Coral C Rucker
Coral C Rucker is a Rehabilitation Practitioner in Pasadena, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
940 Avenue 64Pasadena, CA 91105-2711
Phone: (323) 543-2800
Fax: (323) 978-1263
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1033756200 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 5, 2019 |
| Last updated in NPPES | December 5, 2019 |
| Mailing address | 940 Avenue 64, Pasadena, CA 91105-2711 |
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