Individual
BRENDA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2495 MAIN ST, BUFFALO, NY 14214-2152
(716) 836-5929
Mailing address
2495 MAIN ST, BUFFALO, NY 14214-2152
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008525-1
NY
Other
Enumeration date
09/01/2014
Last updated
09/01/2014
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