Mrs. Dawn Lee Rudolph
Occupational Therapist - Gerontology
4745 Sutton Park Ct Ste 403
Jacksonville
, Florida 32224-0255
Mrs. Dawn Lee Rudolph
Occupational Therapist - Gerontology
4745 Sutton Park Ct Ste 403
Jacksonville
, Florida 32224-0255
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Dawn Lee Rudolph
- 896 Marshside Ct
- Jacksonville Beach, FL
- Zip : 32250-2696
- Phone :
Second Address
- Mrs. Dawn Lee Rudolph
- 4745 Sutton Park Ct Ste 403
- Jacksonville, FL
- Zip : 32224-0255
- Phone : (904) 371-4649
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT9361 | FL |
National Provider Identifier
| NPI | 1437769478 |
|---|---|
| Provider Name | Mrs. Dawn Lee Rudolph |
| First Address | Jacksonville Beach, FL 32250-2696 |
| Second Address | Jacksonville, FL 32224-0255 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2020 |
| Last Update Date | 04/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.