Most Relevant Information
Provider Data
| NPI Number: | 1003275629 |
| Provider Name: | DANIELLE M. RUTHVEN PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 5502004829 |
Most Important Dates
| Enumeration Date: | 02/11/2016 |
| Last Updated: | 11/06/2019 |
Provider Practice Location
15500 19 MILE RD STE 330
CLINTON TWP
MI
480386313
Practice Location Phone/Fax
| Phone: | 5864120016 |
| Fax: |
Provider Mailing Location
20000 VICTOR PKWY
SUITE 100
LIVONIA
MI
481527029
Provider Mailing Phone/Fax
| Phone: | 7349531745 |
| Fax: | 7349531743 |