Individual
MISS ALICE P UDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5128 WARREN DR, EVANSVILLE, IN 47710-4036
(812) 401-1436
Mailing address
5128 WARREN DR, EVANSVILLE, IN 47710-4036
(812) 401-1436
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008363A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200530500
—
IN
Enumeration date
06/15/2006
Last updated
10/17/2008
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