Individual
KAITLIN DUDZIEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
Mailing address
910 N JEFFERSON ST, JACKSONVILLE, FL 32209-6810
(904) 360-7022
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT16074
FL
Other
Enumeration date
02/29/2016
Last updated
02/29/2016
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