National Provider Identifier
Trinity Ruckdaschel, OTR
Trinity Ruckdaschel, OTR is listed in the NPPES registry with a primary specialty of Occupational Therapist in West Seneca, NY and a listed phone number of (716) 580-3976.
Profile Overview
- NPI
- 1528898624
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- August 05, 2024
- Last Updated
- August 05, 2024
Practice Location
- 1419 Union RD
- West Seneca, NY 14224-2936
Phone: (716) 580-3976
Mailing Address
- 3001 E Pleasant Ave
- Eden, NY 14057-1248
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1528898624
- Entity Type
- Individual
- Last Name
- Ruckdaschel
- First Name
- Trinity
- Credential
- OTR
- Mailing Street Address
- 3001 E Pleasant Ave
- Mailing City
- Eden
- Mailing State
- NY
- Mailing ZIP Code
- 14057-1248
- Mailing Country
- US
- Mailing Phone
- (716) 955-9752
- Practice Street Address
- 1419 Union RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-2936
- Practice Country
- US
- Practice Phone
- (716) 580-3976
- Enumeration Date
- August 05, 2024
- Last Updated
- August 05, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)