Individual
KERIN HUDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
336 S POWERLINE RD, DEERFIELD BEACH, FL 33442-8105
(954) 790-2381
Mailing address
4525 NE 21ST AVE, UNIT 7, FORT LAUDERDALE, FL 33308-4779
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15442
FL
Other
Enumeration date
01/22/2017
Last updated
01/22/2017
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