Kristen Palmer Hudgins, OTR/L
Individual provider Active NPI Occupational Therapist · Leary, GA
NPI 1669629705 · NPPES record last updated Apr 15, 2010
Key facts
- NPI
- 1669629705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT004381 (GA)
- Practice address
- 196 Wildmeade Rd
Leary, GA 39862-3744 - Phone
- (229) 869-0891
- Fax
- (229) 869-0891
- NPI assigned
- Aug 20, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT004381 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integra Rehabilitation Agency, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004381 | GA | Yes |
Addresses
Primary practice location
196 Wildmeade Rd
Leary, GA 39862-3744
Mailing address
196 Wildmeade Rd
Leary, GA 39862-3744
Phone (229) 869-0891
Other providers in Leary, GA
All providers in Leary, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.