Individual
TARA RUDOLPHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
502 WEST ST, WILLIAMSBURG, IA 52361-9681
(563) 357-8399
(319) 853-0983
Mailing address
1140 NOLAN CT, NORTH LIBERTY, IA 52317-4700
(563) 357-8399
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
004481
IA
225100000X
Physical Therapist
Primary
004481
IA
Other
Enumeration date
01/28/2010
Last updated
04/22/2022
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