Provider Demographics
NPI:1851335889
Name:SPENCER, RUTHMARY (OTR/L, CHT)
Entity type:Individual
Prefix:MS
First Name:RUTHMARY
Middle Name:
Last Name:SPENCER
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E 2ND AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-1718
Mailing Address - Country:US
Mailing Address - Phone:386-264-6672
Mailing Address - Fax:386-264-6632
Practice Address - Street 1:10 CYPRESS POINT PKWY STE 106
Practice Address - Street 2:
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32164-2503
Practice Address - Country:US
Practice Address - Phone:386-264-6672
Practice Address - Fax:386-264-6632
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3110225XH1200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand