Tracy Rutherford, OT
Occupational Therapist in New Palestine, IN. Individual provider (NPI-1).
NPI number1104643154
StatusActive
Last updated in NPPESNov 13, 2024
Details
- NPI
- 1104643154
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Tracy Rutherford
- Credential
- OT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2024
- Certification date
- Nov 13, 2024
- Last updated
- Nov 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 31003627A | IN | Yes |
Practice location
5798 W Boulder Creek DrNew Palestine, IN 46163-8611
Phone 317-502-7359
Mailing address
5798 W Boulder Creek DrNew Palestine, IN 46163-8611
Phone 317-502-7359
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