Most Relevant Information
Provider Data
| NPI Number: | 1003826629 |
| Provider Name: | GENEVIEVE GUDORF DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 16150 |
Most Important Dates
| Enumeration Date: | 08/08/2006 |
| Last Updated: | 07/07/2023 |
Provider Practice Location
4301 WILSON ST
FORT SILL
OK
735034472
Practice Location Phone/Fax
| Phone: | 5805583415 |
| Fax: |
Provider Mailing Location
4301 WILSON ST
FORT SILL
OK
735034472
Provider Mailing Phone/Fax
| Phone: | 5805583415 |
| Fax: |