Individual
MRS. LORI JEAN RUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5700 BOTTINEAU BLVD, SUITE 200, CRYSTAL, MN 55429-3183
(763) 535-7607
(763) 535-7649
Mailing address
8662 ELK AVE, MONTICELLO, MN 55362-2805
(763) 295-4987
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102908
MN
Other
Enumeration date
03/10/2006
Last updated
04/23/2013
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