Provider Demographics
NPI:1417670175
Name:DICKEY, NATALIE RUTIGLIANO (OTR/L)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:RUTIGLIANO
Last Name:DICKEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:RUTIGLIANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1514 HABERSHAM ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31401-7329
Mailing Address - Country:US
Mailing Address - Phone:317-464-3815
Mailing Address - Fax:
Practice Address - Street 1:1 SAVANNAH SQUARE DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-6755
Practice Address - Country:US
Practice Address - Phone:912-920-8027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT006180225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist