Dudack, Clara A.
Dudack, Clara A. is an individual health care provider with primary practice located at 6669 Overlook Rim Rd , Salt Lake City UT 84123-5590. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Dudack, Clara A. can be contacted via phone (801) 580-6611.Contact Information
Primary practice address
6669 Overlook Rim Rd
Salt Lake City UT 84123-5590
Phone: (801) 580-6611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 289554-2402 | Utah |
Profile Details
| NPI number | 1639488828 |
|---|---|
| LBN Legal business name | Dudack, Clara A. |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2010 |
| Last updated | Oct 5th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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