Individual
JENNIFER DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
435 DUDEK RD, WILLIAMSPORT, PA 17701-8522
(570) 772-4191
Mailing address
435 DUDEK RD, WILLIAMSPORT, PA 17701-8522
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007875
PA
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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