Individual
RUTH KULOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
503 MEADOW DR, WEST, TX 76691-1018
(125) 472-3144
Mailing address
9821 CHAPEL RD APT 1722, WACO, TX 76712-8299
(413) 204-8112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215100
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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