Individual
AUSTIN DUDENHOEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
900 MANCHESTER RD, FAIRVIEW, PA 16415-1703
(814) 838-4822
(814) 833-8536
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027107
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14306026
CAQH
—
Enumeration date
08/06/2018
Last updated
10/19/2023
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