Individual
CARISSA RUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
340 MENDEL PKWY W, MONTGOMERY, AL 36117-5406
(334) 532-0220
Mailing address
340 MENDEL PKWY W, MONTGOMERY, AL 36117-5406
(334) 532-0220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3167
CO
225X00000X
Occupational Therapist
OT00003620
WA
Other
Enumeration date
02/22/2007
Last updated
08/22/2016
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