Individual
KRISTINE RUTLEDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3503
(505) 367-3342
Mailing address
2187 46TH ST, LOS ALAMOS, NM 87544-1720
(505) 709-8143
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3231
NM
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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