Individual
BENITA GAIL HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L, PTA
Contact information
Practice address
4263 OAK GROVE RD, RED BOILING SPRINGS, TN 37150-3740
(615) 388-3777
Mailing address
4263 OAK GROVE RD, RED BOILING SPRINGS, TN 37150-3740
(615) 388-3777
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2675
TN
225X00000X
Occupational Therapist
Primary
3521
TN
Other
Enumeration date
10/08/2008
Last updated
04/07/2014
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