Individual
MS. JUDY G BOERSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
173 SCHAN DR, CHURCHVILLE, PA 18966-1619
(215) 485-3205
Mailing address
173 SCHAN DR, CHURCHVILLE, PA 18966-1619
(215) 485-3205
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000690L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2009007983
MO AUDIOLOGY LICENSE
MO
01
—
41YA00072600
NJ AUDIOLOGY LICENSE
NJ
01
—
AT000690L
PA AUDIOLOGY LICENSE
PA
Enumeration date
05/26/2010
Last updated
05/26/2010
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