Individual
HOLLEY RUDROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5595 COUNTY ROAD Z, WEST BEND, WI 53095-9224
(262) 306-2100
Mailing address
N56W6563 CENTER ST, CEDARBURG, WI 53012-1972
(573) 590-0371
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9535-024
WI
Other
Enumeration date
01/02/2012
Last updated
01/02/2012
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