Individual
DOLORES JO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
39 DUNSTON AVE, YONKERS, NY 10701-6322
(914) 457-8965
Mailing address
39 DUNSTON AVE, YONKERS, NY 10701-6322
(914) 457-8965
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0068031
NY
224Z00000X
Occupational Therapy Assistant
46TA09070000
NJ
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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