Individual
MS. MONIQUE ELIANA RUDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L, CHT
Contact information
Practice address
5901 W OLYMPIC BLVD STE 407, LOS ANGELES, CA 90036-4669
(323) 917-5194
Mailing address
5901 W OLYMPIC BLVD STE 407, LOS ANGELES, CA 90036-4669
(323) 917-5194
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT13120
CA
Other
Enumeration date
09/05/2013
Last updated
03/12/2019
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