Individual
MS. MIRANDA NADINE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 WASHINGTON LN, WYNCOTE, PA 19095-1600
(215) 576-8000
Mailing address
8150 CHASKE ST, VERONA, PA 15147-1619
(412) 889-5573
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TOP008093
PA
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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