Provider Demographics
NPI:1558676932
Name:GOULD-RUETE, ANNE E (PT, DPT, NL)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:E
Last Name:GOULD-RUETE
Suffix:
Gender:F
Credentials:PT, DPT, NL
Other - Prefix:MISS
Other - First Name:ANNE
Other - Middle Name:E
Other - Last Name:GOULD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:19 LOVETT LN
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-1820
Mailing Address - Country:US
Mailing Address - Phone:860-214-0631
Mailing Address - Fax:
Practice Address - Street 1:19 LOVETT LN
Practice Address - Street 2:
Practice Address - City:NORTH CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01863-1820
Practice Address - Country:US
Practice Address - Phone:860-214-0631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17628225100000X
NH3646225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist