Individual
CHRISTOPHER J HUDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1265 WAYNE AVE STE 307, 119 PROFESSIONAL CENTER, INDIANA, PA 15701-3501
(724) 465-2676
(724) 349-1830
Mailing address
1265 WAYNE AVE SUITE 307, 119 PROFESSIONAL CENTER, INDIANA, PA 15701-3501
(724) 465-2676
(724) 349-1830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003583L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016664200006
—
PA
01
—
CI1160
TRAVELERS MEDICARE
PA
Enumeration date
06/19/2006
Last updated
02/27/2008
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