Individual
MRS. JESSICA LYNN RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2940 E BANNER GATEWAY DR STE 425, GILBERT, AZ 85234-2177
(480) 813-7900
Mailing address
419 E JULIAN DR, GILBERT, AZ 85295-1651
(480) 917-7951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5345
AZ
225100000X
Physical Therapist
Primary
LPT-005345
AZ
Other
Enumeration date
10/04/2006
Last updated
01/27/2025
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