Jessica Eden Hudnall, OTR/L
Occupational Therapist in Bangor, PA. Individual provider (NPI-1).
NPI number1295934834
StatusActive
Last updated in NPPESOct 23, 2025
Details
- NPI
- 1295934834
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Eden Hudnall
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2007
- Certification date
- Oct 23, 2025
- Last updated
- Oct 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | OC021133 | PA | Yes |
Other names
- Jessica Eden Mabus (Former Name)
Practice location
123 Five Points Richmond RdBangor, PA 18013-5224
Phone 610-599-7015
Mailing address
318 Crestmont StPen Argyl, PA 18072-9680
Phone 610-248-2686
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All 9 Occupational Therapist providers in Bangor · All 176 providers in Bangor
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