Individual
DOMINICK RUCIRETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2800 N HARBOR BLVD, FULLERTON, CA 92835-1727
(714) 871-9202
Mailing address
27442 PORTOLA PKWY, STE 200, FOOTHILL RANCH, CA 92610-2823
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2642
CA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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