Individual
KELLI RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1810 W CERVANTES ST, PENSACOLA, FL 32501-0001
(406) 253-9498
(850) 782-0058
Mailing address
225 N PACE BLVD STE 201, PENSACOLA, FL 32505-7915
(406) 253-9498
(850) 782-0058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11576
FL
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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