Individual
MADALENE RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 PENNWICK DR, LITITZ, PA 17543-7628
(717) 437-3093
Mailing address
135 PENNWICK DR, LITITZ, PA 17543-7628
(717) 437-3093
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016692
PA
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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