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Individual
VINCENT J. HUDSON
Active
Individual
VINCENT J. HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT007613L
PA
2251S0007X
Sports Physical Therapist
PT007613L
PA
2251X0800X
Orthopedic Physical Therapist
PT007613L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091843
MEDICARE
PA
01
—
1738936
PERSONAL CHOICE
PA
01
—
2001780
KEYSTONE CENTRAL
PA
01
—
4307918
AETNA
PA
01
—
50050471
BLUE CROSS
PA
Enumeration date
09/20/2005
Last updated
07/31/2009
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