Individual
JOSHUA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD STE 774, PORT ORANGE, FL 32128-8321
(800) 330-7711
Mailing address
82 MISTY PINE RD, FAIRPORT, NY 14450-2630
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114995
TX
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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