Individual
SARA L RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
100 HICKSVILLE RD, MASSAPEQUA, NY 11758-5823
(516) 799-2900
(516) 799-2928
Mailing address
100 HICKSVILLE RD, MASSAPEQUA, NY 11758-5823
(516) 799-2900
(516) 799-2928
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
003247
CT
225XP0200X
Pediatric Occupational Therapist
015316
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015316
NY STATE OCCUPATIONAL THERAPY LICENSE
NY
Enumeration date
03/19/2007
Last updated
05/21/2010
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