Individual
JACKIE RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
200 DELAWARE ST, HONESDALE, PA 18431-1150
(570) 253-9039
(570) 253-9052
Mailing address
1072 OWEGO TPKE, HONESDALE, PA 18431-2308
(570) 253-9039
(570) 253-9052
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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