Jacqueline Anna Rutt, OTR/L | |
233 Greeley Ave, Sayville, NY 11782-2301 | |
(631) 750-3099 | |
Not Available |
Full Name | Jacqueline Anna Rutt |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 233 Greeley Ave, Sayville, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467743112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 011043-1 (New York) | Primary |
Provider Name | Epic Medical Services Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134589609 PECOS PAC ID: 8628365582 Enrollment ID: O20160921001908 |
Mailing Address | Practice Location Address |
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Jacqueline Anna Rutt, OTR/L 233 Greeley Ave, Sayville, NY 11782-2301 Ph: (631) 750-3099 | Jacqueline Anna Rutt, OTR/L 233 Greeley Ave, Sayville, NY 11782-2301 Ph: (631) 750-3099 |
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