Individual
DR. DANIELLE KAY CUDDEBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1850 SW BELLEVUE AVE, PORT SAINT LUCIE, FL 34953-1035
(607) 345-4221
Mailing address
1850 SW BELLEVUE AVE, PORT ST LUCIE, FL 34953-1035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34874
FL
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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