IndividualActive
Amanda Hudson, PTA
NPI 1558020800 · Physical Medicine & Rehabilitation Physician · Melbourne, FL
Provider details
- NPI number
- 1558020800
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 25984 (FL)
Mailing address
4640 Zoltan Dr
Titusville, FL 32780-6056
Registry dates
- Enumerated
- 2021-12-14
- Last updated
- 2021-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.