| NPI | 1194063909 |
|---|---|
| Former Name | LAURA DUDGEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 005106) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2019-06-27 |