Provider Demographics
NPI:1508636259
Name:RUGGLES, JEAN (PT, MS)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:RUGGLES
Suffix:
Gender:F
Credentials:PT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1023 W NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-4625
Mailing Address - Country:US
Mailing Address - Phone:410-490-5253
Mailing Address - Fax:
Practice Address - Street 1:SEVEN LAKES ASSISTED LIVING AND MEMORY CARE
Practice Address - Street 2:292 MAC DOUGALL DRIVE
Practice Address - City:WEST END
Practice Address - State:NC
Practice Address - Zip Code:27376
Practice Address - Country:US
Practice Address - Phone:910-673-2045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist