Provider Demographics
NPI:1245468461
Name:FERREIRA, RUTHANNE HENRY (OTR)
Entity type:Individual
Prefix:
First Name:RUTHANNE
Middle Name:HENRY
Last Name:FERREIRA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:RUTHANNE
Other - Middle Name:
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:4412 ALBURY AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90713-2539
Mailing Address - Country:US
Mailing Address - Phone:562-420-1965
Mailing Address - Fax:714-562-3496
Practice Address - Street 1:4412 ALBURY AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90713-2539
Practice Address - Country:US
Practice Address - Phone:562-420-1965
Practice Address - Fax:714-562-3496
Is Sole Proprietor?:No
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 6003225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist