Individual
MRS. CANDICE MARIE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
13612 BIG BEND RD, VALLEY PARK, MO 63088-1447
(314) 220-9830
(636) 825-2323
Mailing address
8025 WILDWOOD DR, CEDAR HILL, MO 63016-2117
(314) 220-9830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
114776
MO
Other
Enumeration date
07/06/2007
Last updated
07/16/2007
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