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Individual

MISS AMANDA RUTTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
2301 COLUMBIA PIKE, SUITE 125, ARLINGTON, VA 22204
(202) 544-5439
(202) 379-1797
Mailing address
3201 VARNUM ST, MOUNT RAINIER, MD 20712-1653
(202) 549-1007

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
017913-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
OT010001315
DC

Other

Enumeration date
04/04/2013
Last updated
08/09/2022
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