Individual
ANN THERESA RUDAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1585 3RD ST BJACH, EENT CLINIC, FT. POLK, LA 71459
(337) 531-3297
(337) 531-3290
Mailing address
7572 KURTHWOOD RD, LEESVILLE, LA 71446
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT001159-L
PA
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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