Individual
BRUCE A HUDDLESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4608 W NIXON ST, PASCO, WA 99301-2834
(239) 770-7612
Mailing address
4608 W NIXON ST, PASCO, WA 99301-2834
(239) 770-7612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00003987
WA
225XP0200X
Pediatric Occupational Therapist
8373
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891065100
—
FL
Enumeration date
10/15/2006
Last updated
01/16/2011
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