Individual
KYLE RUDDEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 PLEASANT HILL AVE N, SEBASTOPOL, CA 95472-3104
(707) 829-3282
(707) 829-3287
Mailing address
100 PLEASANT HILL AVE N, SEBASTOPOL, CA 95472-3104
(707) 829-3282
(707) 829-3287
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA47987
CA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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