Individual
MATTHEW AARON RUYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1605 S EUCALYPTUS AVE STE 200, BROKEN ARROW, OK 74012-5996
(918) 608-1212
Mailing address
5936 E 5TH PL, TULSA, OK 74112-2909
(918) 899-4547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2443
OK
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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