Individual
THERESA LYNN RUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
244 N MACY ST, FOND DU LAC, WI 54935-3362
(920) 926-0050
(920) 921-0819
Mailing address
2615 HAMILTON ST, OSHKOSH, WI 54901-1579
(920) 379-2389
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1346-27
WI
Other
Enumeration date
09/17/2006
Last updated
10/28/2010
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