| NPI | 1073724449 |
|---|---|
| Former Name | TERESA C RUDKIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP10908) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: NM 3371) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2020-04-21 |