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Timothy Rutledge

Peer Specialist in Tulsa, OK. Individual provider (NPI-1).

NPI number1467115147
StatusActive
Last updated in NPPESOct 19, 2021

Details

NPI
1467115147
Entity type
Individual (NPI-1)
Name
Timothy Rutledge
Sex
Male
Sole proprietor
No
Enumeration date
Oct 19, 2021
Certification date
Oct 19, 2021
Last updated
Oct 19, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

252 W 17th Pl
Tulsa, OK 74119-4654

Phone 512-297-7715

Mailing address

252 W 17th Pl
Tulsa, OK 74119-4654

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