Individual
BRANDI RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 LUCAS DR, ATHENS, TX 75751-3445
(905) 675-8538
Mailing address
711 LUCAS DR, ATHENS, TX 75751-3445
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3466
OK
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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