NPI 1518167147

Ivan Ruiz, ORTHOTIST

Practitioner Orthotist Johns Creek, GA

Practice location

Address: 9690 Vantana Way, Johns Creek, GA 30022-6394
Phone: (404) 833-8737
Fax: (770) 751-0961
Mailing address: 12460 Crabapple Rd Suite 202-336, Alpharetta, GA 30004-6602

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 51 (GA)

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Registry record

NPI: 1518167147
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jul 2007
Record last updated: 31 Oct 2007

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.