Individual provider · NPI-1

Amy Louise Chudzik, pt

Contractor · Minneapolis, MN

NPI number1629279112
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1629279112
Entity type
Individual (NPI-1)
Name
Amy Louise Chudzik
Credential
pt
Sex
Female
Sole proprietor
No
Enumeration date
May 30, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor4689MNYes

Other names

  • Amy Louise Chudzik (Professional Name)

Practice location

22 27th Ave Se
Minneapolis, MN 55414-3102

Phone 612-332-4262

Mailing address

9553 Jackson St Ne
Blaine, MN 55434-2546

Phone 763-780-4736

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