Individual
TARA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2200 WILBORN AVE, SOUTH BOSTON, VA 24592-1645
(434) 517-3339
Mailing address
8178 HUELL MATTHEWS HWY, ALTON, VA 24520-3100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306603557
VA
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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