Individual
BRENDA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7812 EDINGER AVE STE 400, HUNTINGTON BEACH, CA 92647-3727
(714) 916-0641
(866) 806-1080
Mailing address
7812 EDINGER AVE STE 400, HUNTINGTON BEACH, CA 92647-3727
(714) 916-0641
(866) 806-1080
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5086
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA5086
LICENSE
CA
Enumeration date
12/11/2019
Last updated
12/11/2019
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