Individual
KATHY T. RUTKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
486 WORCESTER ST, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
(508) 765-0294
Mailing address
486 WORCESTER ST, SOUTHBRIDGE, MA 01550-1386
(508) 765-0292
(508) 765-0294
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2013
Last updated
08/21/2013
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