Individual
LUIS ANGEL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2385 LAWRENCEVILLE HWY STE B, DECATUR, GA 30033-3168
(404) 289-4270
Mailing address
2544 HATFIELD CIR SE, ATLANTA, GA 30316-3949
(843) 227-3000
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT008875
GA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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