Individual
MRS. LAURA ELIZABETH HUDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3700 NW CARY PKWY, SUITE 110, CARY, NC 27513-8446
(919) 319-3649
Mailing address
8300 HEALTH PARK, SUITE 127, RALEIGH, NC 27615-4730
(919) 845-6160
(919) 845-6188
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
12354
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12354
NORTH CAROLINA PHYSICAL THERAPY BOARD
NC
01
—
PT010588
OHIO OT, PT, ATC BOARD
OH
Enumeration date
10/25/2005
Last updated
08/27/2012
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