Provider Demographics
NPI:1023138153
Name:DUDLEY, CATHERINE D (PT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:D
Last Name:DUDLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:LOUISE
Other - Last Name:DRESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:242 BLUE RIDGE TPKE
Mailing Address - Street 2:
Mailing Address - City:FINCASTLE
Mailing Address - State:VA
Mailing Address - Zip Code:24090-4546
Mailing Address - Country:US
Mailing Address - Phone:540-992-3162
Mailing Address - Fax:
Practice Address - Street 1:1059 WILSON CHURCH RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-1962
Practice Address - Country:US
Practice Address - Phone:540-397-3982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2008-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305000777225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist