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Individual

MRS. ANN TERESE RUDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
11101 N SHERMAN RD, EDGERTON, WI 53534-9002
(608) 884-1390
Mailing address
1042 CHANDLER LN, SUN PRAIRIE, WI 53590-4443
(608) 834-9049

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
420-027
WI

Other

Enumeration date
06/07/2007
Last updated
04/05/2016
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