Individual
MAMIE HUDGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5830 CORAL RIDGE DR STE 120, CORAL SPRINGS, FL 33076-3388
(866) 425-5768
Mailing address
122 ELLENBURG SUBDIVISION, SUMMERVILLE, GA 30747-5104
(866) 425-5768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001113
GA
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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