Individual
MS. TERESA KATHLEEN RUIZ DE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
925 S SEMORAN BLVD STE 108, WINTER PARK, FL 32792-5313
(888) 830-1050
(800) 521-9608
Mailing address
2107 SW REGENCY CT, BLUE SPRINGS, MO 64015-7154
(816) 719-3495
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1800704
KS
224Z00000X
Occupational Therapy Assistant
Primary
2009022267
MO
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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