Individual
CRISTINA HUDEPOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 LAGUNA ST, KOKOMO, IN 46902-2330
(765) 457-8273
Mailing address
4402 MCKIBBEN DR, KOKOMO, IN 46902-4718
(765) 480-4150
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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