Individual
MRS. JULIE KRISTINE HUDGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6 AZALEA, MAGNOLIA, AR 71753-2274
(870) 312-6557
Mailing address
6 AZALEA, MAGNOLIA, AR 71753-2274
(870) 312-6557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1184
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT-A1184
ARKANSAS STATE MEDICAL BOARD
AR
Enumeration date
07/06/2017
Last updated
03/17/2018
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