Individual provider · Type 1 NPI
Anne Rudolph, COA LL
Occupational Therapy Assistant · Jacksonville Beach, FL
Practice location
333 First Street, Suite 200
Jacksonville Beach, FL 32250
Fax (888) 794-5038
Mailing address
333 1st St N Ste 200
Jacksonville Beach, FL 32250-6939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OP000884L (PA) |
| Occupational Therapy Assistant Primary | 224Z00000X | OTA 10387 (FL) |
| Occupational Therapy Assistant | 224Z00000X | 2026-0044 (NM) |
Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…
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About NPI 1396936290
Anne Rudolph, COA LL's National Provider Identifier is 1396936290, issued on Aug 6, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Mar 12, 2026.