Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ANNE RUDOLPH, COA LL
Active Sole ProprietorMRS. ANNE RUDOLPH, COA LL is a Occupational Therapy Assistant healthcare provider located in JACKSONVILLE BEACH, Florida. NPI 1396936290 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · JACKSONVILLE BEACH, FL
Registration Details
- NPI Number
- 1396936290
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 6, 2007 (19.035959810406 yrs)
- Last Updated
- Jul 23, 2025
- Licenses
-
OP000884L (PA)OTA 10387 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
333 FIRST STREETSUITE 200JACKSONVILLE BEACH, FL, 32250Browse FL providers · Browse ZIP 32250
- Phone
- 8889095038
- Fax
- 8887945038
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in JACKSONVILLE BEACH, FL
| Name | Credential | NPI |
|---|---|---|
| MELVIN EATON | — | 1871744128 |
| MR. MICHAEL R CHRISTOPHERSON | — | 1164704151 |
| MS. JANET MACEJAK | — | 1942570221 |
| MRS. JESSICA TRUDNAK | — | 1336577956 |
| MRS. LAUREN PARK | COTA/L | 1417476896 |
| LEAH MORTENSEN | COTA/L | 1972206548 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.