Provider Demographics
NPI:1215263611
Name:HURTADO, RUTH ELIZABETH (PTA)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ELIZABETH
Last Name:HURTADO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:ELIZABETH
Other - Last Name:ZENDEJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:9003 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-2707
Mailing Address - Country:US
Mailing Address - Phone:408-835-0710
Mailing Address - Fax:
Practice Address - Street 1:1893 MONTEREY RD
Practice Address - Street 2:SUITE #200
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95112-6136
Practice Address - Country:US
Practice Address - Phone:408-288-3800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-20
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8904225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant