Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK CUDANIN
Active Sole ProprietorMARK CUDANIN is a Physical Therapy Assistant healthcare provider located in EAU CLAIRE, Michigan. NPI 1154735132 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · EAU CLAIRE, MI
Registration Details
- NPI Number
- 1154735132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2014 (12.163968742887 yrs)
- Last Updated
- Jun 17, 2014
- Licenses
-
05004064A (IN)5501008927 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6717 OLD PIPESTONE RDEAU CLAIRE, MI, 491119701Browse MI providers · Browse ZIP 49111
- Phone
- 2693133067
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in EAU CLAIRE, MI
| Name | Credential | NPI |
|---|---|---|
| JOSE CARMEN ROMERO | — | 1619621109 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.