Individual
JODY LYNNE DUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2120 MARSHALL EDWARDS DR, BARTOW, FL 33830-6731
(863) 519-7579
Mailing address
15301 PALOMAPARK LN, LITHIA, FL 33547-4812
(331) 642-2353
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30233
FL
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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