Individual
MR. MARK ALAN RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
24349 KATIE LN, WATERTOWN, NY 13601-5137
(315) 767-4931
Mailing address
24349 KATIE LN, WATERTOWN, NY 13601-5137
(315) 767-4931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
008883-1
NY
225XH1300X
Human Factors Occupational Therapist
Primary
008883-1
NY
225XN1300X
Neurorehabilitation Occupational Therapist
008883-1
NY
225XP0200X
Pediatric Occupational Therapist
008883-1
NY
Other
Enumeration date
09/24/2006
Last updated
09/11/2025
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