Individual
VICTORIA PURUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 733-7717
Mailing address
43 LINCOLN AVE, NORTH TONAWANDA, NY 14120-5408
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029845-01
NY
225X00000X
Occupational Therapist
525833
OR
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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