Individual
ELLY KUMIKO BASIA RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4090 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7815
(719) 305-1234
Mailing address
503 WOODRUFF PLACE EAST DR, INDIANAPOLIS, IN 46201-1917
(317) 607-2600
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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