Provider Demographics
NPI:1265919963
Name:RUTHRAUFF, HEATHER (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:RUTHRAUFF
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8931 MONTGOMERY AVE
Mailing Address - Street 2:
Mailing Address - City:WYNDMOOR
Mailing Address - State:PA
Mailing Address - Zip Code:19038-8302
Mailing Address - Country:US
Mailing Address - Phone:215-292-4128
Mailing Address - Fax:
Practice Address - Street 1:8931 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:WYNDMOOR
Practice Address - State:PA
Practice Address - Zip Code:19038-8302
Practice Address - Country:US
Practice Address - Phone:215-292-4128
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009598225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist