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Contact Information

MARK A RUTLEDGE, OTR
24349 KATIE LN
WATERTOWN, NY13601-5137
 Phone: 315-767-4931
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Human Factors

225XH1300X 67 Occupational Therapist in Private Practice
 

Neurorehabilitation

225XN1300X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARK A RUTLEDGE · (Male)

NPI # 1255431730
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 09/24/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 008883-1
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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