Individual
RUTH SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Mailing address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 557
CA
225XM0800X
Mental Health Occupational Therapist
Primary
OT557
CA
Other
Enumeration date
03/22/2007
Last updated
09/29/2020
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