Individual
AMANDA CHYRLESA HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6845 MURRELL RD, MELBOURNE, FL 32940-6872
(321) 253-6321
Mailing address
4640 ZOLTAN DR, TITUSVILLE, FL 32780-6056
(407) 538-0259
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25984
FL
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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