ERICK IAN RUTAQUIO

DALLAS, TX
NPI1730999749
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  124811)
Enumeration Date2025-01-10
Last Update Date2025-01-10
Business Address
ERICK IAN RUTAQUIO
2944 ALLISTER ST
DALLAS, TX 75229-2459
Phone number: 945-546-3791
Mailing Address
ERICK IAN RUTAQUIO
2944 ALLISTER ST
DALLAS, TX 75229-2459
Phone number: 945-546-3791