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Individual

CATHERINE RUDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
525 W CHESTER PIKE, HAVERTOWN, PA 19083-4539
(610) 449-8400
(610) 449-6392
Mailing address
213 RODMOR RD, HAVERTOWN, PA 19083-4924

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015017
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2230038
FIRST HEALTH
NJ
01
2378744
UNITEDHEALTHCARE MPIN
NJ
Enumeration date
10/11/2006
Last updated
08/19/2008
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