Organization
AT HOME THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL FAIRH RUDDOCK O.T. (PRESIDENT)
(561) 779-9471
Entity
Organization
Contact information
Practice address
1847 POLO LAKE DR E, WELLINGTON, FL 33414-6196
(561) 779-9471
Mailing address
1847 POLO LAKE DR E, WELLINGTON, FL 33414-6196
(561) 779-9471
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1775
FL
Other
Enumeration date
02/22/2015
Last updated
02/22/2015
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