Individual
TIMOTHY RUDDEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 ROUTE 73, VOORHEES, NJ 08043-9573
(856) 809-3500
Mailing address
24 SOFIA CT, BLACKWOOD, NJ 08012-5379
(609) 617-8915
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09202600
NJ
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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