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Individual
JACQUELYN LUDLAM
Active
Individual
JACQUELYN LUDLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114218
TX
225X00000X
Occupational Therapist
277474
OR
225X00000X
Occupational Therapist
Primary
46TR00537800
NJ
Other
Enumeration date
06/05/2011
Last updated
01/03/2014
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