Individual
MOLLY BURKE DUDEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2025 E. NEWPORT AVE., COLUMBIA-ST. MARY'S HOSPITAL, MILWAUKEE, WI 53211
(414) 961-4160
Mailing address
5660 N LYDELL AVE, MILWAUKEE, WI 53217-4525
(414) 332-7110
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1066-019
WI
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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