Individual provider · Type 1 NPI

Stephanie Marie Rudisill, OTR

Occupational Therapist · Park City, UT

NPI number 1063633964 Active

Practice location

1640 Redstone Center Dr, Suite 200
Park City, UT 84098-7605

Call (214) 575-9820 Map

Fax (214) 575-9846

Mailing address

703 Northill Dr
Richardson, TX 75080-5018

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X109688 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1063633964

Stephanie Marie Rudisill, OTR's National Provider Identifier is 1063633964, issued on May 1, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Park City, UT. The record was last updated on Jul 8, 2007.