Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS DAVETTE VENITA RUCKER, OTR/L
Active Sole ProprietorMISS DAVETTE VENITA RUCKER, OTR/L is a Environmental Modification Occupational Therapist healthcare provider located in WASHINGTON, Washington D.C.. NPI 1386914117 is currently active in the NPPES registry. Verify at CMS.
Environmental Modification Occupational Therapist · WASHINGTON, DC
Registration Details
- NPI Number
- 1386914117
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2012 (14.567898289517 yrs)
- Last Updated
- Jan 11, 2012
- License
-
04134 (DC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6524 LUZON AVE NW#24WASHINGTON, DC, 200123010Browse DC providers · Browse ZIP 20012
- Phone
- 2024312555
- Fax
- 2025459497
- Primary Specialty
-
Environmental Modification Occupational Therapist
225XE0001X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.