Kelly Diane Rutherford

NPI #1063127900 in Christmas, Florida

Provider Information

NPI Number
1063127900
Entity Type
Individual
Name
Kelly Diane Rutherford
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jan 16, 2023
Last Updated
Jan 16, 2023

Practice Location

Address
25525 E COLONIAL DR
State
Florida
ZIP Code
32709-9228
Phone
(478) 457-5096

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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