| NPI | 1053923003 |
|---|---|
| Former Name | OLIVIA EVELYN HUDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT014778) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT031693) |
| 225100000X Physical Therapist (Licence: AL PTH10356) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-05-09 |