Michael Damon Hudson, P.T.A.

NPI #1922132166 in Gravette, Arkansas

Provider Information

NPI Number: 1922132166
Entity Type: Individual
Name: Michael Damon Hudson, P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Mar 16, 2007
Last Updated: Jan 19, 2011

Practice Location

Address: 1101 JACKSON ST SW
City: Gravette
State: Arkansas
ZIP Code: 72736-9121
Phone: (479) 344-6740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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