Individual
MR. BRUCE W DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
17210 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 296-2262
(616) 935-3535
Mailing address
17210 VAN WAGONER RD, SPRING LAKE, MI 49456-9702
(616) 296-2262
(616) 935-3535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501016218
MI
225800000X
Recreation Therapist
PT60182844
WA
Other
Enumeration date
08/06/2010
Last updated
11/24/2021
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