Individual
RUTH ANN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
500 SPRING ST SE STE 101, GAINESVILLE, GA 30501-3773
(770) 615-0177
Mailing address
1035 SCALES RD APT 5207, SUWANEE, GA 30024-4591
(630) 877-6789
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007080
GA
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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