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Individual

MS. SARAH RUALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06178
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06178
STATE OF MARYLAND OT LICENSE
MD
Enumeration date
01/09/2014
Last updated
01/09/2014
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