NPI | 1548216153 |
---|---|
Other Name | EDWARD J KUDEJ |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CT 00764) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 002136) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2007-07-08 |