NPI 1124730981
Matthew Aaron Ruyle, COTA
Practice location
- Address
- 1605 S Eucalyptus Ave STE 200, Broken Arrow, OK 74012-5996
- Phone
- (918) 608-1212
- Mailing address
- 5936 E 5th Pl, Tulsa, OK 74112-2909
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1124730981
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Dec 2022
- Record last updated
- 22 Dec 2022
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.