Individual
JASON RUTTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
17 TAR KILN RD, ORLEANS, MA 02653-4800
(508) 237-7961
Mailing address
17 TAR KILN RD, ORLEANS, MA 02653-4800
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1120
MA
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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