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Individual

MRS. LAURA ELIZABETH HUDAK

Active
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Individual

MRS. LAURA ELIZABETH HUDAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
12354
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12354
NORTH CAROLINA PHYSICAL THERAPY BOARD
NC
01
PT010588
OHIO OT, PT, ATC BOARD
OH
Enumeration date
10/25/2005
Last updated
08/27/2012
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