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Individual
NIKKI DANIELLE RUDD
Active
Individual
NIKKI DANIELLE RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4154
SC
235Z00000X
Speech-Language Pathologist
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4154
SOUTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
SC
Enumeration date
06/21/2011
Last updated
09/18/2025
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