Individual
MR. DENNIS ROBERT PUDOKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
Mailing address
1423 CALADESI DR, WESLEY CHAPEL, FL 33544-6663
(330) 475-4557
(813) 406-4119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10734
FL
Other
Enumeration date
01/22/2012
Last updated
01/22/2012
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