Healthcare Provider Details

I. General information

NPI: 1609419340
Provider Name (Legal Business Name): LAUREN RUFF OTR/L, OTD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2019
Last Update Date: 09/13/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 DOWD CIR UNIT 2
PINEHURST NC
28374-7901
US

IV. Provider business mailing address

PO BOX 11
CAMERON NC
28326-8904
US

V. Phone/Fax

Practice location:
  • Phone: 919-264-2001
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18634
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: