Individual
MARY LYNN RUELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 971-9300
(262) 971-9301
Mailing address
709 SPRING VALLEY RD, BURLINGTON, WI 53105-7614
(262) 971-9300
(262) 971-9301
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3607
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40843400
—
WI
Enumeration date
12/06/2007
Last updated
10/14/2016
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