Individual
JUDITH R SIRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L CHT
Contact information
Practice address
3124 N SWAN RD, TUCSON, AZ 85712-1227
(520) 363-3232
Mailing address
3124 N SWAN RD, TUCSON, AZ 85712-1227
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OC002364L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013432170001
—
PA
Enumeration date
10/12/2005
Last updated
07/16/2024
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