Individual
MRS. TRACY RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5798 W BOULDER CREEK DR, NEW PALESTINE, IN 46163-8611
(317) 502-7359
Mailing address
5798 W BOULDER CREEK DR, NEW PALESTINE, IN 46163-8611
(317) 502-7359
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003627A
IN
Other
Enumeration date
09/23/2024
Last updated
11/13/2024
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