Provider Demographics
NPI:1609268671
Name:RUCHINSKI, JOANNE DAWN
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:DAWN
Last Name:RUCHINSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 S STATE RD
Mailing Address - Street 2:APT 1
Mailing Address - City:MARYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17053-1001
Mailing Address - Country:US
Mailing Address - Phone:610-823-5322
Mailing Address - Fax:
Practice Address - Street 1:506 S STATE RD
Practice Address - Street 2:APT 1
Practice Address - City:MARYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17053-1001
Practice Address - Country:US
Practice Address - Phone:610-823-5322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-26
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind