Provider Demographics
NPI:1538469911
Name:RUOPP, DARRELL (OT, ATP)
Entity Type:Individual
Prefix:MR
First Name:DARRELL
Middle Name:
Last Name:RUOPP
Suffix:
Gender:M
Credentials:OT, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 FLAG SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06488-1106
Mailing Address - Country:US
Mailing Address - Phone:203-994-4707
Mailing Address - Fax:
Practice Address - Street 1:277 FLAG SWAMP RD
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-1106
Practice Address - Country:US
Practice Address - Phone:203-994-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003915225X00000X
NY5753679224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant