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Individual

MR. JEREMIAH HUDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
6455 PEARL RD, PARMA HEIGHTS, OH 44130-2984
(440) 887-6254
Mailing address
7203 WESTLAKE AVE, PARMA, OH 44129-2388
(440) 503-2727

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5935
OH

Other

Enumeration date
03/28/2007
Last updated
07/08/2007
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