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:
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Health care specialties

SpecialtyCodeLicense #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 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477678753 NPPES
New York Other 015316 NY STATE OCCUPATIONAL THERAPY LICENSE

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