| Doctor Name: | DAVID CUDLIPP |
| NPI Number: | 1417278268 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | (P.T) |
| License Number: | 1132207 |
| Business Practice Address: | 805 W North Carrier Pkwy Ste 260 Grand Prairie, TX - 750501090 |
| Business Phone Number: | 9726231111 |
| Business Fax Number: | 9726231105 |
| Mailing Address: | 5771 Enid St, HOUSTON |
| State: | TX |
| Postal Code: | 770091208 |
| Phone Number: | 7138804400 |
| Fax Number: | 7138698637 |
| NPI Enumeration Date: | 06/16/2010 |
| NPI Last Update Date: | 06/16/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1132207 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |