Patrick Dale Ruch, COTA/L

NPI #1093113995 in Eagle, Idaho

Provider Information

NPI Number: 1093113995
Entity Type: Individual
Name: Patrick Dale Ruch, COTA/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapy Assistant
Credential: COTA/L
Enumeration Date: Dec 9, 2014
Last Updated: Dec 9, 2014

Practice Location

Address: 166 WILDFLOWER LN
City: Eagle
State: Idaho
ZIP Code: 83616-5947
Phone: (208) 794-7286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapy Assistant	224Z00000X	Primary

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