Provider Demographics
NPI:1851795348
Name:ARANEZ, RUEL SANCHEZ (PT)
Entity Type:Individual
Prefix:MR
First Name:RUEL
Middle Name:SANCHEZ
Last Name:ARANEZ
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 KIRKBRIDE RD APT 7
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1857
Mailing Address - Country:US
Mailing Address - Phone:856-470-4507
Mailing Address - Fax:
Practice Address - Street 1:125 KIRKBRIDE RD APT 7
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-1857
Practice Address - Country:US
Practice Address - Phone:856-470-4507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-13
Last Update Date:2014-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01434600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist