NPI 1164022711

Timothy Rudderow

Practitioner Occupational Therapy Assistant Voorhees, NJ

Practice location

Address: 113 Route 73, Voorhees, NJ 08043-9573
Phone: (856) 809-3500
Mailing address: 24 Sofia CT, Blackwood, NJ 08012-5379

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 46TA09202600 (NJ)

Other Occupational Therapy Assistant providers in New Jersey →

Registry record

NPI: 1164022711
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Oct 2020
Record last updated: 31 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.