Individual
UNIQUE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4224 SE COVE LAKE CIR APT 102, STUART, FL 34997-4312
(754) 273-2579
Mailing address
4224 SE COVE LAKE CIR APT 102, STUART, FL 34997-4312
(754) 273-2579
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18258
FL
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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