| Amanda Jean Dudek, PT, DPT, ATC | |
|
9385 W Donald Dr, Peoria, AZ 85383-2988 | |
| (602) 875-5616 | |
| Not Available |
| Full Name | Amanda Jean Dudek |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 9385 W Donald Dr, Peoria, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821386376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251P0200X | Physical Therapist - Pediatrics | 9403PT (Arizona) | Secondary |
| 225100000X | Physical Therapist | LPT-009403 (Arizona) | Primary |
| Provider Name | Theracare Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962784249 PECOS PAC ID: 9830437433 Enrollment ID: O20190206001321 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jean Dudek, PT, DPT, ATC 9328 E Olla Ave, Mesa, AZ 85212-1400 Ph: (602) 736-1104 | Amanda Jean Dudek, PT, DPT, ATC 9385 W Donald Dr, Peoria, AZ 85383-2988 Ph: (602) 875-5616 |
Michelle Renae Wagoner, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9713 W Tonopah Dr, Peoria, AZ 85382 Phone: 480-381-0220 Fax: 623-594-9094 | |
Bradley Day, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8643 W Kelton Ln Ste 106, Peoria, AZ 85382 Phone: 623-979-8900 Fax: 480-860-0356 | |
Andrew Yanes, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 480-706-1161 | |
Total Body Zone Corporation Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8440 W Thunderbird Rd, Peoria, AZ 85381 Phone: 623-776-9662 Fax: 623-776-2813 | |
Dr. Lindsey K Tellez, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9401 W Thunderbird Rd Ste 190, Peoria, AZ 85381 Phone: 623-977-5451 | |
Lanora Riley, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6760 W Thunderbird Rd Ste E110, Peoria, AZ 85381 Phone: 623-846-7614 Fax: 623-846-0993 | |
Alexander Rodriguez Del Villar, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7707 W Deer Valley Rd Ste 100, Peoria, AZ 85382 Phone: 623-376-9100 |