Individual
DAWN SHUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1701 SHARP RD, WATERFORD, WI 53185-5214
(262) 534-7297
(262) 534-7257
Mailing address
S84W32531 JERICHO RD, MUKWONAGO, WI 53149-9273
(262) 363-9629
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3320-024
WI
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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