Individual
BRANDI SUE RUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1112 S 48TH ST, STE B, SPRINGDALE, AR 72762-5848
(479) 751-3900
Mailing address
PO BOX 871, TONTITOWN, AR 72770-0871
(479) 751-3900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1969
AR
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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