National Provider Identifier

Ruth Vangorder, OTR/L

Ruth Vangorder, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Canandaigua, NY and a listed phone number of (585) 394-3900.

NPI 1457633463Canandaigua, NYPediatric Occupational Therapist

Profile Overview

NPI
1457633463
Provider Type
Individual
Primary Specialty
Pediatric Occupational Therapist
Enumeration Date
September 15, 2011
Last Updated
September 15, 2011

Practice Location

  • 96 W Gibson St
  • Canandaigua, NY 14424-1453

Phone: (585) 394-3900

Specialties

  • Pediatric Occupational Therapist (225XP0200X)
Full Record
NPI
1457633463
Entity Type
Individual
Last Name
Vangorder
First Name
Ruth
Credential
OTR/L
Mailing Street Address
96 W Gibson St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1453
Mailing Country
US
Practice Street Address
96 W Gibson St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1453
Practice Country
US
Practice Phone
(585) 394-3900
Enumeration Date
September 15, 2011
Last Updated
September 15, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Occupational Therapist (225XP0200X)