Individual
MS. RUTH ANN RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1962 VANDOLAH RD, WAUCHULA, FL 33873-8726
(863) 767-4411
Mailing address
507 N 9TH AVE, WAUCHULA, FL 33873-2221
(812) 470-7145
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 11660
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281890
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
01
—
OTA 11660
STATE OF FL DEPARTMENT OF HEALTH
FL
Enumeration date
08/01/2012
Last updated
08/01/2012
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