Individual
ASHLEY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4401 BELLE OAKS DRIVE, NORTH CHARLESTON, SC 26405
(304) 282-1488
Mailing address
311 BANTRY CIRCLE, CHARLESTON, SC 29414
(304) 282-1488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4430
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4330
OCCUPATIONAL THERAPY LICENSE
SC
Enumeration date
08/19/2014
Last updated
08/19/2014
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