Individual
LAURA RUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
932 BROADWAY, CHELSEA, MA 02150-2213
(617) 889-2250
Mailing address
15 CLAYTON AVE, MEDFORD, MA 02155-6405
(781) 775-9506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2609
MA
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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