Provider Demographics
NPI:1386206530
Name:RUGGERI, JOELLE MARIE (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:JOELLE
Middle Name:MARIE
Last Name:RUGGERI
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 KILLINGTON CIR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-3900
Mailing Address - Country:US
Mailing Address - Phone:484-356-6846
Mailing Address - Fax:
Practice Address - Street 1:2501 RIVER RD
Practice Address - Street 2:
Practice Address - City:ASHLAND CITY
Practice Address - State:TN
Practice Address - Zip Code:37015-5402
Practice Address - Country:US
Practice Address - Phone:615-792-4948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist