Individual
CARISSA RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1005 S 11TH ST, MOUNT VERNON, WA 98274-4422
(360) 428-6110
Mailing address
1005 S 11TH ST, MOUNT VERNON, WA 98274-4422
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61228729
WA
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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