Individual
NICOLE LUDWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6248 103RD ST, JACKSONVILLE, FL 32210-7733
(904) 573-0046
Mailing address
6248 103RD ST, JACKSONVILLE, FL 32210-7733
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11875
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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