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NPI Code Detail

MEDICARE: GINGER HUDSON OT

MEDICARE: GINGER HUDSON OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist109289TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1108289OTHERTXTEXAS ECPTOTE
2109289OTHERTXEXECUTIVE COUNCIL OF PT AND OT EXAMINERS

General Provider Information

NPI Number : 1023529757
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINGER HUDSON OT
Provider Business Mailing Address
First Line : 1431 GREENWAY DR STE 500
Second Line :
City : IRVING
State : TX
Zip : 75038-2444
Country : US
Telephone Number : 877-688-2520
Fax Number :
Provider Business Practice Location Address
First Line : 1431 GREENWAY DR STE 500
Second Line :
City : IRVING
State : TX
Zip : 75038-2444
Country : US
Telephone Number : 877-688-2530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2017
Last Update Date : 07/26/2021

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Directions to “ GINGER HUDSON OT” Practice Location

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