Individual
MICHELLE MARIE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
7130 CRIMSON RIDGE DR, ROCKFORD, IL 61107-6222
(815) 398-7792
Mailing address
884 WESTPORT DR, ROCKLEDGE, FL 32955-3566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5753926
IL
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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