Individual
KELLIE HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
50 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
(408) 361-2101
Mailing address
50 GREAT OAKS BLVD, SAN JOSE, CA 95119-1310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5514
CA
Other
Enumeration date
04/02/2007
Last updated
09/07/2023
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