Provider Demographics
NPI:1457749954
Name:RUFFU, YOLANDA SUSAN (OT)
Entity Type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:SUSAN
Last Name:RUFFU
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 E CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:BELFAIR
Mailing Address - State:WA
Mailing Address - Zip Code:98528-8305
Mailing Address - Country:US
Mailing Address - Phone:360-277-2111
Mailing Address - Fax:360-277-2321
Practice Address - Street 1:71 E CAMPUS DR
Practice Address - Street 2:
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528-8305
Practice Address - Country:US
Practice Address - Phone:360-277-2206
Practice Address - Fax:360-277-2321
Is Sole Proprietor?:No
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001064225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist