Individual
ROBERT THOMAS RUPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
5767 SAN FRANSICO POST ACUTE, SAN FRANSICO, CA 94112
(415) 584-3294
Mailing address
269 GATEWAY DR, PACIFICA, CA 94044-1244
(949) 290-9443
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3590
CA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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