Individual
AMANDA RAE RUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
690 SUNSET BLVD N STE 108, SUNSET BEACH, NC 28468-5610
(910) 575-2775
Mailing address
14296 WILDFLOWER RD, NORTH PLATTE, NE 69101-9103
(308) 520-1122
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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