Healthcare Provider Details

I. General information

NPI: 1396084638
Provider Name (Legal Business Name): MS. ABBY DUDENSING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 08/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4351 RIDGEMONT DR SUITE A
ABILENE TX
79606-8746
US

IV. Provider business mailing address

4351 RIDGEMONT DR SUITE A
ABILENE TX
79606-8746
US

V. Phone/Fax

Practice location:
  • Phone: 325-698-4545
  • Fax: 325-698-4547
Mailing address:
  • Phone: 325-698-4545
  • Fax: 325-698-4547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1203673
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: