Individual provider · Type 1 NPI

Rudo Mademutsa

Rehabilitation Practitioner · San Jose, CA

NPI number 1881060960 Active

Practice location

650 S Bascom Ave
San Jose, CA 95128-2601

Call (408) 261-7777 Map

Fax (408) 642-6052

Mailing address

1922 The Alameda Ste 316
San Jose, CA 95126-1461

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XAFMT132297 (CA)
Counselor 101Y00000XNone listed
Marriage & Family Therapist 106H00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1881060960

Rudo Mademutsa's National Provider Identifier is 1881060960, issued on Aug 12, 2015. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on Jun 26, 2025.