MICHELLE MARIE RUTHERFORD

ROCKFORD, IL
NPI1174815930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  5753926)
Enumeration Date2011-05-11
Last Update Date2011-05-11
Business Address
-- MICHELLE MARIE RUTHERFORD MOTR/L
7130 CRIMSON RIDGE DR
ROCKFORD, IL 61107-6222
Phone number: 815-398-7792
Mailing Address
-- MICHELLE MARIE RUTHERFORD MOTR/L
884 WESTPORT DR
ROCKLEDGE, FL 32955-3566
Phone number: