Individual
LEAH MARY HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
103 APOLLO CT, MUKWONAGO, WI 53149
(920) 737-1772
Mailing address
103 APOLLO CT, MUKWONAGO, WI 53149
(920) 737-1772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4906
WI
Other
Enumeration date
01/11/2007
Last updated
08/08/2019
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