Provider Demographics
NPI:1467737353
Name:RUGGIERO, CAITLIN MARIE (DPT)
Entity Type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:MARIE
Last Name:RUGGIERO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:CAITLIN
Other - Middle Name:MARIE
Other - Last Name:PISANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:106 MILFORD ST
Mailing Address - Street 2:SUITE 601
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6953
Mailing Address - Country:US
Mailing Address - Phone:410-548-7600
Mailing Address - Fax:410-548-2651
Practice Address - Street 1:106 MILFORD ST
Practice Address - Street 2:SUITE 601
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6953
Practice Address - Country:US
Practice Address - Phone:410-548-7600
Practice Address - Fax:410-548-2651
Is Sole Proprietor?:No
Enumeration Date:2011-10-11
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24485225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist