| NPI | 1124485404 |
|---|---|
| Former Name | GWEN RUTKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR01167500) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131001487) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2024-02-29 |