Individual
CYNTHIA M RUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1508 QUINNETTE LN, DE PERE, WI 54115-3339
(920) 983-1997
Mailing address
1508 QUINNETTE LN, DE PERE, WI 54115-3339
(920) 983-1997
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
321-27
WI
Other
Enumeration date
10/19/2010
Last updated
10/19/2010
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