Individual
CAITLYN RUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
621 LIZARD CREEK RD, ANDREAS, PA 18211-3073
(570) 386-2760
Mailing address
621 LIZARD CREEK RD, ANDREAS, PA 18211-3073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007368
PA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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