Individual
JENNIFER RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
128 COLD SPG, BUDA, TX 78610-3571
(512) 395-4036
Mailing address
128 COLD SPG, BUDA, TX 78610-3571
(512) 395-4036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207584
TX
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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