Individual
ELIZABETH JOY DUDENHOFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
51 COWLITZ ST W, CASTLE ROCK, WA 98611-9267
(360) 274-4550
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP042859T
AL
225100000X
Physical Therapist
CP042860T
SC
225100000X
Physical Therapist
CP042861T
UT
225100000X
Physical Therapist
CP043195T
OR
225100000X
Physical Therapist
CP043196T
DE
225100000X
Physical Therapist
PT-7225
ID
225100000X
Physical Therapist
Primary
PT60290653
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952650186
—
WA
01
—
P01207552
RR MEDICARE
WA
Enumeration date
09/04/2012
Last updated
04/04/2025
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