Individual
LAUREN HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2060 COUNTRY FARMS RD, PORT ORANGE, FL 32128-6684
(423) 313-5229
Mailing address
2060 COUNTRY FARMS RD, PORT ORANGE, FL 32128-6684
(423) 313-5229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13047
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
07/02/2013
Last updated
04/21/2021
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