Individual
MICHELLE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2207 CONCORD AVE NW STE 100, CORYDON, IN 47112-3097
(812) 738-3616
Mailing address
150 BEECHMONT DR NE, CORYDON, IN 47112-1717
(812) 738-0550
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
05007357A
IN
Other
Enumeration date
07/02/2008
Last updated
12/01/2020
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