Individual
MRS. ALICE SAWYER DUDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
AH4919
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0036620
NHP
MA
05
—
0370533
—
MA
01
—
314J593
AETNA
—
01
—
6400683
UHC
—
01
—
723G169
AETNA
—
01
—
AA10737
HARVARD PILGRIM
MA
01
—
Y65982
BCBS
MA
Enumeration date
02/02/2006
Last updated
01/03/2010
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