Individual
PATRICK UDOFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
3005 SW PERKINS AVE, PENDLETON, OR 97801-4485
(903) 504-2064
Mailing address
2113 SUANNE DR, TYLER, TX 75701-4846
(903) 504-2064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1377447
TX
Other
Enumeration date
12/09/2024
Last updated
01/03/2025
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