KELLY T HUDSON

COVINGTON, LA
NPI1588675318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: LA  A6846R)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
Mr. KELLY T HUDSON PTA
103 NORTHPARK BLVD SUITE 205
COVINGTON, LA 70433-6119
Phone number: 985-871-7878
Mailing Address
Mr. KELLY T HUDSON PTA
1305 ANDORRA LN
COVINGTON, LA 70433-4546
Phone number: 985-871-5124
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