Individual
MRS. STACIE K. HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1901 E HAMILTON ST, KIRKSVILLE, MO 63501-3904
(660) 626-1400
(660) 665-3281
Mailing address
1901 E HAMILTON ST, KIRKSVILLE, MO 63501-3904
(660) 626-1400
(660) 665-3281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2001033072
MO
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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