Individual
AMANDA JEAN DUDEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
9385 W DONALD DR, PEORIA, AZ 85383-2988
(602) 875-5616
Mailing address
9328 E OLLA AVE, MESA, AZ 85212-1400
(602) 736-1104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-009403
AZ
2251P0200X
Pediatric Physical Therapist
9403PT
AZ
Other
Enumeration date
07/19/2011
Last updated
03/25/2021
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