Individual
TANAIJAH RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 S. MARTIN LUTHER KING JR. DRIVE, F.L ATKINS BUILDING, WINSTON SALEM, NC 27110
(336) 750-3174
Mailing address
4910 KOGER BLVD APT 3D, GREENSBORO, NC 27407-2794
(910) 546-5885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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