Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michele Lynn Rudolph

Individual provider Occupational Therapist · NPI 1295203917

Michele Lynn Rudolph is an Occupational Therapist in South Richmond Hill, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
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Practice location Address checks out

11515 101st Ave
South Richmond Hill, NY 11419-1247
Phone: (718) 441-4958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 023093 (NY)

Record details

NPI number1295203917
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2018
Last updated in NPPESNovember 12, 2018

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