Provider Demographics
NPI:1275825242
Name:BEIERLE, RUTH ANN (OTR)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANN
Last Name:BEIERLE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 PEACHTREE RD NE
Mailing Address - Street 2:SUITE 425
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1848
Mailing Address - Country:US
Mailing Address - Phone:404-355-0069
Mailing Address - Fax:404-355-6825
Practice Address - Street 1:1819 PEACHTREE RD NE
Practice Address - Street 2:SUITE 425
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1848
Practice Address - Country:US
Practice Address - Phone:404-355-0069
Practice Address - Fax:404-355-6825
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT005245225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist