Individual
TRACEY L RUESCHHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO/LPO
Contact information
Practice address
7777 FOREST LN BLDG C, DALLAS, TX 75230-2505
(972) 566-4999
Mailing address
7777 FOREST LN BLDG C, DALLAS, TX 75230-2505
(972) 566-4999
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
109
TX
224P00000X
Prosthetist
Primary
109
TX
Other
Enumeration date
08/29/2009
Last updated
08/29/2009
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