NPI 1093113995

Patrick Dale Ruch, COTAL

Practitioner Occupational Therapy Assistant Eagle, ID

Practice location

Address: 166 Wildflower Ln, Eagle, ID 83616-5947
Phone: (208) 794-7286

Registered specialties (3)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA-1139 (ID)

Other Occupational Therapy Assistant providers in Idaho →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 295012 (OR)

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 14-1230 (NV)

Registry record

NPI: 1093113995
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Dec 2014
Record last updated: 9 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.