Individual
MS. LAURA M RUTHERFORD RENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
208 NEW JERSEY AVE, COLLINGSWOOD, NJ 08108-1612
(856) 854-4405
Mailing address
208 NEW JERSEY AVE, COLLINGSWOOD, NJ 08108-1612
(856) 854-4405
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00123400
NJ
225X00000X
Occupational Therapist
OC003949L
PA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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