Individual
MELISSA ANN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5115 E 51ST ST, TULSA, OK 74135-7430
(918) 440-0321
Mailing address
2010 W TOLEDO ST, BROKEN ARROW, OK 74012-5131
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5354
OK
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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