Individual
MRS. MARCIE LEE DUDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(888) 757-3422
(888) 522-4571
Mailing address
13741 W WARREN DR, LAKEWOOD, CO 80228-4530
(303) 502-6304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1055778
CO
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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