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Individual
TRESSA RUDOLPH
Active
Individual
TRESSA RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MTC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT003129
OH
225100000X
Physical Therapist
Primary
PTL.0016599
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277097
BC/BS
OH
05
—
0108341
—
OH
01
—
382617193-44
BWC
OH
Enumeration date
10/27/2006
Last updated
05/16/2024
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