Individual
JENNIFER RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 S 107TH AVE, AVONDALE, AZ 85323-2209
(623) 986-5110
Mailing address
3508 N 108TH AVE, AVONDALE, AZ 85392-3704
(623) 499-8299
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6833
AZ
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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