NPI 1538604947

Dalton Bryant Rudd, JD

Practitioner Rehabilitation Practitioner Wynnewood, OK

Practice location

Address: 202 S Washita Ave, Wynnewood, OK 73098-7820
Phone: (405) 665-4385
Mailing address: 309 S 5th St, Davis, OK 73030-2916

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

Other Rehabilitation Practitioner providers in Oklahoma →

Registry record

NPI: 1538604947
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2016
Record last updated: 21 Dec 2016

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.