Individual
ELON HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 338-1725
Mailing address
8111 TIS WELL DR, ALEXANDRIA, VA 22306-3211
(703) 338-1725
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005676
VA
225X00000X
Occupational Therapist
06919
MD
Other
Enumeration date
04/02/2012
Last updated
07/11/2012
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