Individual
MELANIE SUE RUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4180 TITTABAWASSEE RD, SAGINAW, MI 48604-9413
(989) 607-1500
(989) 401-2048
Mailing address
PO BOX 446, NEW LOTHROP, MI 48460-0446
(810) 241-6843
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5502000898
—
MI
Enumeration date
02/27/2018
Last updated
02/27/2018
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