Individual
JILL MELISSA CARRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2891 FAIRWAY DRIVE, ALTOONA, PA 16602
(814) 943-2273
Mailing address
6085 OAK AVE, ALTOONA, PA 16601-7932
(814) 414-7697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003678L
PA
Other
Enumeration date
05/02/2014
Last updated
08/26/2022
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