Individual
AMANDA DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 KEEWAYDIN DR, SALEM, NH 03079-2839
(800) 995-2673
(866) 420-1055
Mailing address
3698 WOODHAVEN CIR, HAMBURG, NY 14075-2260
(716) 445-3064
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20796
FL
Other
Enumeration date
08/28/2012
Last updated
12/28/2018
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