Provider Demographics
NPI:1376844233
Name:TOMALSKI, RUTH LAURA (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:LAURA
Last Name:TOMALSKI
Suffix:
Gender:F
Credentials:MS, OTR/L
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Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1277 3RD AVE
Mailing Address - Street 2:APT 2A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3661
Mailing Address - Country:US
Mailing Address - Phone:516-776-1606
Mailing Address - Fax:
Practice Address - Street 1:1277 3RD AVE
Practice Address - Street 2:APT 2A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3661
Practice Address - Country:US
Practice Address - Phone:516-776-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY013517-1225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist