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Contact Information

DONNA M RUDOLPH, OTR/L
1425 HORSHAM RD
NORTH WALES, PA19454
 Phone: 610-247-9148
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DONNA M RUDOLPH · (Female)

NPI # 1619002185
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 02/23/2007
Last updated 08/28/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # OC005133L
  • PA Medicaid 1008470590001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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