Individual
LAURIE R DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
950 N 35TH ST FL 2, MILWAUKEE, WI 53208-3318
(414) 342-0208
(414) 342-0208
Mailing address
950 N 35TH ST FL 2, MILWAUKEE, WI 53208-3318
(414) 342-0208
(414) 342-0508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
560019
WI
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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