Timothy Rudderow
Occupational Therapy Assistant in Voorhees, NJ. Individual provider (NPI-1).
NPI number1164022711
StatusActive
Last updated in NPPESOct 31, 2020
Details
- NPI
- 1164022711
- Entity type
- Individual (NPI-1)
- Name
- Timothy Rudderow
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 31, 2020
- Certification date
- Oct 31, 2020
- Last updated
- Oct 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 46ta09202600 | NJ | Yes |
Practice location
113 Route 73Voorhees, NJ 08043-9573
Phone 856-809-3500
Mailing address
24 Sofia CtBlackwood, NJ 08012-5379
Phone 609-617-8915
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All 21 Occupational Therapy Assistant providers in Voorhees · All 2,654 providers in Voorhees
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