Nicole Rudolph, - Occupational Therapist in Philadelphia, PA

Nicole Rudolph, is a Occupational Therapist based in Philadelphia, Pennsylvania. Nicole Rudolph is licensed to practice in Pennsylvania (license number OC010616) and her current practice location is 441 Poplar St, Philadelphia, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at (484) 769-3700.

NPI number for Nicole Rudolph is 1023409646 and her current mailing address is 441 Poplar St, Philadelphia, Pennsylvania. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023409646.

Contact Information

Nicole Rudolph,
441 Poplar St,
Philadelphia, PA 19123-2123
(484) 769-3700
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicole Rudolph
GenderFemale
SpecialityOccupational Therapist
Location441 Poplar St, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023409646
  • Provider Enumeration Date: 02/18/2015
  • Last Update Date: 02/18/2015

Medical Identifiers

Medical identifiers for Nicole Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023409646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist OC010616 (Pennsylvania)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Rudolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Rudolph,
441 Poplar St,
Philadelphia, PA 19123-2123

Ph: (484) 769-3700
Nicole Rudolph,
441 Poplar St,
Philadelphia, PA 19123-2123

Ph: (484) 769-3700

Reviews and Comments


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