Martin Edward Sudar, LPTA
NPI #1407053796 in Lake Oswego, Oregon
Provider Information
- NPI Number
- 1407053796
- Entity Type
- Individual
- Name
- Martin Edward Sudar, LPTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- LPTA
- Enumeration Date
- Jun 29, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3814 BOTTICELLI ST
- City
- Lake Oswego
- State
- Oregon
- ZIP Code
- 97035-1303
- Phone
- (503) 699-8128
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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