Individual
TIMOTHY HUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
627 8TH ST, CLERMONT, FL 34711-2159
(352) 243-4422
Mailing address
2404 MARTINS RUN, TAVARES, FL 32778-5104
(860) 307-1349
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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