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Individual

CHRISTA I HUDDLESTON

Active
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Individual

CHRISTA I HUDDLESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001210
WA
225XH1200X
Hand Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202611
DEPT. OF LABOR & INDUSTRY
WA
01
3456HU
REGENCE BLUE SHIELD
WA
01
7029729
AETNA
WA
01
710883456-98503-A002
TRICARE
WA
05
8439135
WA
01
8937988
L&I CRIME VICTIMS
WA
Enumeration date
04/20/2006
Last updated
04/15/2010
Update your record

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