Individual
ELLEN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 SW 5TH AVE, MERIDIAN, ID 83642-2995
(208) 706-3699
Mailing address
365 E FAIRBROOK DR, BOISE, ID 83706-5280
(310) 567-8659
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT-1999
ID
Other
Enumeration date
08/21/2015
Last updated
03/31/2025
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