Individual
MRS. KRISTI JO RUDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2101 ELM ST N, 130R, FARGO, ND 58102-2417
(701) 232-3241
(701) 239-3721
Mailing address
4804 37TH AVE N, REILES ACRES, ND 58102-5438
(701) 306-1817
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1053141
ND
225X00000X
Occupational Therapist
Primary
832
ND
Other
Enumeration date
06/27/2006
Last updated
03/03/2010
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