Individual
MICHAEL RUTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1951 W CAMELBACK RD STE 450, PHOENIX, AZ 85015-3474
(320) 267-8360
Mailing address
1951 W CAMELBACK RD STE 450, PHOENIX, AZ 85015-3474
(320) 267-8360
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008107
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
424259
THE NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
01
—
OTH-008107
ARIZONA BOARD OF OCCUPATIONAL THERAPY EXAMINERS
AZ
Enumeration date
07/13/2021
Last updated
03/07/2025
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