Individual
MIA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
5606 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
Mailing address
1310 TELFON CIR, CHESAPEAKE, VA 23320-3283
(757) 651-1624
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010188
VA
Other
Enumeration date
10/23/2023
Last updated
02/24/2026
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