Individual
MS. MARNIE BRENDA DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
175 S ENGLISH STATION RD, SUITE 220, LOUISVILLE, KY 40245-4160
(502) 245-1136
(502) 245-1146
Mailing address
175 S ENGLISH STATION RD, SUITE 220, LOUISVILLE, KY 40245-4160
(502) 245-1136
(502) 245-1146
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005243
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023287521
NPI
KY
01
—
KY005243
KY STATE LICENSE
KY
Enumeration date
02/28/2008
Last updated
07/08/2010
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