DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. LARRY JAMES RUTLAND OTR/L

MEDICARE: MR. LARRY JAMES RUTLAND OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT21794FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356908420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LARRY JAMES RUTLAND OTR/L
Provider Business Mailing Address
First Line : 96232 RIDGEWOOD CIR
Second Line :
City : FERNANDINA BEACH
State : FL
Zip : 32034-8160
Country : US
Telephone Number : 678-761-2863
Fax Number : 904-775-4478
Provider Business Practice Location Address
First Line : 22391 FLORA PARKE XING UNIT A
Second Line :
City : FERNANDINA BEACH
State : FL
Zip : 32034-8005
Country : US
Telephone Number : 904-321-9054
Fax Number : 855-565-1769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2019
Last Update Date : 06/01/2023

Similar Medicare Providers

1700653599 — JANEE DURDEN OTR/L
Practice Location Address:
22391 FLORA PARKE XING UNIT A
FERNANDINA BEACH, FL
32034-8005
Practice Phone: 904-321-9054
Practice Fax:
1447018916 — KELSEY SHELL SLPA
Practice Location Address:
22391 FLORA PARKE XING UNIT A
FERNANDINA BEACH, FL
32034-8005
Practice Phone: 904-321-9054
Practice Fax:
1235981911 — DESTINY THOMPSON COTA/L
Practice Location Address:
22391 FLORA PARKE XING UNIT A
FERNANDINA BEACH, FL
32034-8005
Practice Phone: 904-321-9054
Practice Fax: 855-565-1769
1306680038 — AMELIA CLAIRE KIRBY MS, CF-SLP
Practice Location Address:
22391 FLORA PARKE XING UNIT A
FERNANDINA BEACH, FL
32034-8005
Practice Phone: 904-321-9054
Practice Fax: 855-565-1769
1669292678 — JULIA POCH CF, SLP
Practice Location Address:
22391 FLORA PARKE XING UNIT A
FERNANDINA BEACH, FL
32034-8005
Practice Phone: 904-321-9054
Practice Fax: 855-565-1769
1508686262 — BIANCA GREGORY COTA/L
Practice Location Address:
22391 FLORA PARKE XING UNIT A
FERNANDINA BEACH, FL
32034-8005
Practice Phone: 678-761-2863
Practice Fax: 855-565-1769

Directions to “ MR. LARRY JAMES RUTLAND OTR/L” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.