| NPI | 1013396753 |
|---|---|
| Former Name | LAURA LYNN RUFFELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224ZE0001X Occupational Therapy Assistant Environmental Modification (Licence: FL OTA 14193) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |