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Individual

MRS. CHERYL STIPE RUDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LOT

Contact information

Practice address
221 TUNICA DR W, MARKSVILLE, LA 71351-2603
(318) 253-5982
Mailing address
9021 PINE MOSS DR, BATON ROUGE, LA 70817-6930
(225) 931-8049

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10642
LA

Other

Enumeration date
05/26/2021
Last updated
05/26/2021
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