Individual
MRS. LEANNE M RUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1249 COCOA AVE, HERSHEY, PA 17033-1715
(717) 835-0310
(717) 835-0314
Mailing address
1249 COCOA AVE, HERSHEY, PA 17033-1715
(717) 835-0310
(717) 835-0314
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009110
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC009110
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
04/07/2011
Last updated
04/07/2011
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