Rutledge, Sara L
Rutledge, Sara L is an individual health care provider with primary practice located at 100 Hicksville Rd , Massapequa NY 11758-5823. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Rutledge, Sara L can be contacted via phone (516) 799-2900.Contact Information
Primary practice address
100 Hicksville Rd
Massapequa NY 11758-5823
Phone: (516) 799-2900
Fax: (516) 799-2928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 003247 | Connecticut |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 015316 | New York |
Profile Details
| NPI number | 1477678753 |
|---|---|
| LBN Legal business name | Rutledge, Sara L |
| Credentials | Registered Occupational Therapist (OTR) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | May 21st, 2010 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477678753 | NPPES |
| New York | Other | 015316 | NY STATE OCCUPATIONAL THERAPY LICENSE |
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