Individual
REBECCA RUDELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9200 W LOOMIS RD, FRANKLIN, WI 53132-8887
(414) 529-9200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045616
—
WI
Enumeration date
06/23/2015
Last updated
07/01/2024
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