Individual
JOANNA AYALA-RUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
245 N METRO DR, APPLETON, WI 54913-8572
(920) 903-1009
Mailing address
1419 TULLAR RD APT 3, NEENAH, WI 54956-6506
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
14795
PA
Other
Enumeration date
10/11/2019
Last updated
11/05/2024
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