Individual
MRS. LEYANA ROSE DUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
110 SUMMIT HILLS DR, SPARTANBURG, SC 29307-1532
(864) 573-8581
Mailing address
114 SADDLEMOUNT LN, SIMPSONVILLE, SC 29680-7047
(413) 221-8349
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4487
SC
Other
Enumeration date
09/24/2007
Last updated
12/29/2020
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