Individual
MRS. AUDRA P RUTNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
100 QUARRY RD, SUITE C, HAMBURG, NJ 07419-1339
(973) 209-4064
Mailing address
100 QUARRY RD, SUITE C, HAMBURG, NJ 07419-1339
(973) 209-4064
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
46TR00536800
NJ
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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