| Doctor Name: | MR. RUDOLPH DANIEL VIDI |
| NPI Number: | 1174582662 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T., M.P.T. |
| License Number: | 6989 |
| Business Practice Address: | 279 Mathison Road Southern Ocean Center For Health At Little Egg Harbor Little Egg Harbor, NJ - 08087 |
| Business Phone Number: | 6092944006 |
| Business Fax Number: | 6098120539 |
| Mailing Address: | 1296 E Bay Ave, MANAHAWKIN |
| State: | NJ |
| Postal Code: | 080503942 |
| Phone Number: | 6099781623 |
| Fax Number: | 6099781623 |
| NPI Enumeration Date: | 03/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 6989 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |