Individual
JILL A HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL CHT
Contact information
Practice address
4541 NORTH DAVIS HWY, SUITE A, PENSACOLA, FL 32503
(850) 494-9000
(850) 476-3031
Mailing address
4551 NORTH DAVIS HWY, SUITE C, PENSACOLA, FL 32503
(850) 476-4774
(850) 476-3031
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT10277
FL
225XH1200X
Hand Occupational Therapist
OT10277
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
59197642
BCBS OF ALABAMA
AL
01
—
P00602579
MEDICARE RAILROAD
FL
01
—
Z149E
BCBS FLORIDA
FL
Enumeration date
05/03/2006
Last updated
07/25/2008
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