Individual
HEATHER RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
(413) 788-2171
Mailing address
136 WILLIAM ST, SPRINGFIELD, MA 01105-2324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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