Individual
MRS. BETH ANN BAZER HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6006 49TH ST N, ST PETERSBURG, FL 33709-2148
(727) 521-5031
Mailing address
110 29TH AVE N, ST PETERSBURG, FL 33704-2941
(727) 896-8892
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 4514
FL
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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