Individual
JOHNETTE B RUDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7726 US HWY 165, HAVEN REHABILITATION CENTER, COLUMBIA, LA 71418
(318) 649-9826
(318) 649-9827
Mailing address
7726 US HWY 165, HAVEN REHABILITATION CENTER, COLUMBIA, LA 71418
(318) 649-9826
(318) 649-9827
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3699
LA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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