Individual
MICHELLE LORI RUGGIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12-10 FLORAL AVE, FAIR LAWN, NJ 07410-2200
(201) 776-7551
Mailing address
12-10 FLORAL AVE, FAIR LAWN, NJ 07410-2200
(201) 776-7551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00469700
NJ
225XP0200X
Pediatric Occupational Therapist
46TR00469700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01
INSURANCE
NJ
Enumeration date
01/27/2023
Last updated
01/27/2023
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