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Individual

MRS. LINDA Q RUDD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
8506 W DEER VALLEY RD STE 105, PEORIA, AZ 85382-5385
(623) 777-3113
Mailing address
8953 W CUSTER LN, PEORIA, AZ 85381-3516

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1502
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
622482
AZ
Enumeration date
03/14/2007
Last updated
02/04/2019
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