Individual
MR. TEDDY R RUDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
571 PARKWAY DR, SALYERSVILLE, KY 41465-9248
(606) 349-6182
(606) 349-5962
Mailing address
PO BOX 1351, PAINTSVILLE, KY 41240-5351
(606) 309-8394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
KYR2585
KY
Other
Enumeration date
06/28/2007
Last updated
07/08/2007
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