Individual
MARY RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3530 LEMAY FERRY RD, SAINT LOUIS, MO 63125-4424
(314) 845-7751
Mailing address
4410 WELFORD DR, SAINT LOUIS, MO 63128-3112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00854
MO
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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