Individual
CHLOE DESHA RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3302
(480) 472-0426
Mailing address
1313 N 2ND ST APT 1542, PHOENIX, AZ 85004-1773
(928) 600-2122
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047215
AZ
Other
Enumeration date
06/05/2023
Last updated
12/11/2023
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