Healthcare Provider Details

I. General information

NPI: 1740105659
Provider Name (Legal Business Name): RUTH PETROFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2283 ASHLAND AVE
TOLEDO OH
43620-1205
US

IV. Provider business mailing address

5952 GREENACRE RD
TOLEDO OH
43615-1012
US

V. Phone/Fax

Practice location:
  • Phone: 419-244-2175
  • Fax:
Mailing address:
  • Phone: 419-244-2175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: