Individual
ANN RUDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 TURNSTONE DR, SAN RAFAEL, CA 94901-8406
(916) 214-0115
Mailing address
14 TURNSTONE DR, SAN RAFAEL, CA 94901-8406
(916) 214-0115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 11404
CA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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