Provider Demographics
NPI:1508117201
Name:RUFFING, MICHAEL J (OTR/L)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:J
Last Name:RUFFING
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:282 S BAYSHORE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-9343
Mailing Address - Country:US
Mailing Address - Phone:330-718-4979
Mailing Address - Fax:
Practice Address - Street 1:282 S BAYSHORE DR
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-9343
Practice Address - Country:US
Practice Address - Phone:330-718-4979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT. 003699225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist