Individual
VANESSA MARIE HUDACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1527 STATE ROUTE 27 STE 1100, SOMERSET, NJ 08873-3979
(732) 545-7474
Mailing address
24 POST BLVD, CARTERET, NJ 07008-1550
(908) 217-3064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
46TA09153600
NJ
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
46TR00974300
NJ
Other
Enumeration date
12/13/2017
Last updated
03/12/2021
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