Individual
CHRIS PRUITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5950 TOSCANA DR, APT 537, DAVIE, FL 33314-3478
(734) 306-8295
Mailing address
5950 TOSCANA DR APT 537, DAVIE, FL 33314-3481
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17053
FL
Other
Enumeration date
01/24/2016
Last updated
01/24/2016
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