Rudderow, Kyle

Rudderow, Kyle is an individual health care provider with primary practice located at 100 Pleasant Hill Ave N , Sebastopol CA 95472-3104. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Rudderow, Kyle can be contacted via phone (707) 829-3282.

Contact Information

Primary practice address
100 Pleasant Hill Ave N Sebastopol CA 95472-3104
Phone: (707) 829-3282
Fax: (707) 829-3287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA47987 California

Profile Details

NPI number 1477200962
LBN Legal business name Rudderow, Kyle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2022
Last updated Mar 4th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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