Individual
MS. SUSAN DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
451 N HIGH ST, EAST HAVEN, CT 06512-1555
(203) 466-6850
Mailing address
451 N HIGH ST, EAST HAVEN, CT 06512-1555
(203) 466-6850
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000158
CT
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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