Individual
MRS. ANNE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COA LL
Contact information
Practice address
333 FIRST STREET, SUITE 200, JACKSONVILLE BEACH, FL 32250
(888) 909-5038
(888) 794-5038
Mailing address
333 1ST ST N STE 200, JACKSONVILLE BEACH, FL 32250-6939
(888) 909-5038
(888) 794-5038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2026-0044
NM
224Z00000X
Occupational Therapy Assistant
OP000884L
PA
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10387
FL
Other
Enumeration date
08/06/2007
Last updated
03/12/2026
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