Individual
MARISE DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10315 PROFESSIONAL CIR, RENO, NV 89521-5861
(775) 515-5282
Mailing address
4976 SANTA BARBARA AVE, SPARKS, NV 89436-3607
(361) 676-2565
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0820
NV
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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