Individual
THERESA RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
35 ICE POND RD, LANCASTER, NH 03584-4426
(603) 788-4924
Mailing address
35 ICE POND RD, LANCASTER, NH 03584-4426
(603) 788-4924
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0740
NH
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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