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Olivia Ruby, PT, DPT

Physical Therapist in Creve Coeur, MO. Individual provider (NPI-1).

NPI number1548090798
StatusActive
Last updated in NPPESAug 2, 2024

Details

NPI
1548090798
Entity type
Individual (NPI-1)
Name
Olivia Ruby
Credential
PT, DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 2, 2024
Certification date
Aug 2, 2024
Last updated
Aug 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist2024030972MOYes

Practice location

12382 Olive Blvd
Creve Coeur, MO 63141-6443

Phone 314-453-9675

Mailing address

8727 Eulalie Ave
Brentwood, MO 63144-2011

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