Individual
MS. SARAH RUALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3320 BENSON AVE, BALTIMORE, MD 21227-1035
(410) 646-6536
Mailing address
6808 DUCKETTS LN, ELKRIDGE, MD 21075-6154
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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