Individual
KERI RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5942 WILLOWS BRIDGE LOOP, ELLENTON, FL 34222-5217
(386) 344-2607
Mailing address
5942 WILLOWS BRIDGE LOOP, ELLENTON, FL 34222-5217
(386) 344-2607
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24573
FL
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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