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Individual

KIM R. RUFFALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR, CLT-LANA

Contact information

Practice address
541 S. SAWYER RD., OCONOMOWOC, WI 53066
(262) 244-7693
Mailing address
541 S. SAWYER RD., OCONOMOWOC, WI 53066
(262) 244-7693

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
826-026
WI

Other

Enumeration date
07/20/2006
Last updated
07/08/2007
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