Individual
CORAL HUDGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
16294 HENNESSY WAY, MONTPELIER, VA 23192-2238
(804) 489-1115
Mailing address
16294 HENNESSY WAY, MONTPELIER, VA 23192-2238
(804) 489-1115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004978
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0119004978
OCCUPATIONAL THERAPIST LICENAE
VA
Enumeration date
10/20/2009
Last updated
04/06/2021
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