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NPI Code Detail

MEDICARE: MRS. SARAH BETH RUTHERFORD COTA/L

MEDICARE:  MRS. SARAH BETH RUTHERFORD  COTA/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
1224Z00000XOccupational Therapy AssistantU2-0000915DE

General Provider Information

NPI Number : 1679717201
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH BETH RUTHERFORD COTA/L
Provider Business Mailing Address
First Line : 12083 WOODBRIDGE RD
Second Line :
City : GREENWOOD
State : DE
Zip : 19950-4557
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12083 WOODBRIDGE ROAD
Second Line :
City : GREENWOOD
State : DE
Zip : 19950
Country : US
Telephone Number : 302-349-5751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2009
Last Update Date : 04/27/2009

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Directions to “ MRS. SARAH BETH RUTHERFORD COTA/L” Practice Location

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