Individual
BRENDA KIM RUWALDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2323 W FRONT ST, TYLER, TX 75702-7704
(903) 597-1351
(903) 535-7386
Mailing address
2323 W FRONT ST, TYLER, TX 75702-7704
(903) 597-1351
(903) 535-7386
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110069
TX
Other
Enumeration date
08/11/2009
Last updated
12/01/2016
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