Individual
ASHLEY MARIE RUTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4250 PIEDMONT LNDG NW, KENNESAW, GA 30144-6043
(678) 575-1575
Mailing address
4250 PIEDMONT LNDG NW, KENNESAW, GA 30144-6043
(678) 575-1575
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001898
GA
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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