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

Mrs. Anne Rudolph, COALL

Individual provider Occupational Therapy Assistant · NPI 1396936290

Mrs. Anne Rudolph, COALL is an Occupational Therapy Assistant in Jacksonville Beach, Florida. Practices as a sole proprietor. Licensed in Florida, New Mexico and Pennsylvania.

Licensed in
FL, NM, PA
In the registry since
2007
Specialties on file
3

Practice location Address checks out

333 First St Ste 200
Jacksonville Beach, FL 32250
Phone: (888) 909-5038
Fax: (888) 794-5038
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA 10387 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OP000884L (PA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 2026-0044 (NM)

Record details

NPI number1396936290
Entity typeIndividual (Type 1)
GenderFemale
Credentials COALL
Sole proprietorYes
NPI enumeratedAugust 6, 2007
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

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