Individual
MRS. CLARA A. DUDACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6669 OVERLOOK RIM RD, SALT LAKE CITY, UT 84123-5590
(801) 580-6611
Mailing address
6669 OVERLOOK RIM RD, SALT LAKE CITY, UT 84123-5590
(801) 580-6611
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
289554-2402
UT
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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