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Individual

MELISSA RUDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTRL

Contact information

Practice address
7200 CHALLIS RD, BRIGHTON, MI 48116-7411
(810) 227-0119
Mailing address
315 BYRON RD, HOWELL, MI 48843-1405

Taxonomy

Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201007941
MI

Other

Enumeration date
12/18/2020
Last updated
12/18/2020
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