Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Rudderow

Individual provider Occupational Therapy Assistant · NPI 1164022711

Timothy Rudderow is an Occupational Therapy Assistant in Voorhees, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020

Practice location Address checks out

113 Route 73
Voorhees, NJ 08043-9573
Phone: (856) 809-3500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 46TA09202600 (NJ)

Record details

NPI number1164022711
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 31, 2020
Last updated in NPPESOctober 31, 2020
Certification dateOctober 31, 2020
Mailing address24 Sofia Ct, Blackwood, NJ 08012-5379

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