Individual
INGRID MICHELLE HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
420 COPPERFIELD BLVD NE, CONCORD, NC 28025-2404
(704) 706-2200
Mailing address
1765 RED BIRD CIR, CONCORD, NC 28025-7212
(704) 886-7762
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15264
NC
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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