Individual
JANELLE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
(989) 673-3979
Mailing address
1655 E CARO RD, CARO, MI 48723-9319
(989) 673-2500
(989) 673-3979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201005040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036320
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
MI
01
—
5201005040
BOARD OF OCCUPATIONAL THERAPISTS OCCUPATIONAL THERAPIST LICENSE
MI
Enumeration date
12/03/2013
Last updated
12/07/2016
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