Individual
LAUREN ELIZABETH RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
521 CAMPUS RD, ITHACA, NY 14853-6007
(774) 571-3884
Mailing address
521 CAMPUS RD, ITHACA, NY 14853-6007
(774) 571-3884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
004112-01
NY
Other
Enumeration date
10/04/2019
Last updated
08/09/2024
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