Most Relevant Information
Provider Data
| NPI Number: | 1003258088 |
| Provider Name: | KATHY T. RUTKIN |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2013 |
| Last Updated: | 08/21/2013 |
Provider Practice Location
486 WORCESTER ST
SOUTHBRIDGE
MA
015501386
Practice Location Phone/Fax
| Phone: | 5087650292 |
| Fax: | 5087650294 |
Provider Mailing Location
486 WORCESTER ST
SOUTHBRIDGE
MA
015501386
Provider Mailing Phone/Fax
| Phone: | 5087650292 |
| Fax: | 5087650294 |