Individual
MS. STEPHANIE M RUPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
9059 GENESEE RD, EAST CONCORD, NY 14055-9765
(716) 444-8206
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010504-01
NY
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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