Individual
RUTHANNE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
508 E CONANT ST, PORTAGE, WI 53901-2245
(608) 742-9933
Mailing address
508 E CONANT ST, PORTAGE, WI 53901-2245
(608) 742-9933
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3101-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41533500
—
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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