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Individual

CHRISTOPHER J HUDOCK

Active
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Individual

CHRISTOPHER J HUDOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

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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