Individual
BRIDGETTE CELINE CHUDEREWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10204 GRANGER RD, GARFIELD HTS, OH 44125-3106
(216) 581-2900
(216) 626-0066
Mailing address
4035 W 166TH ST, CLEVELAND, OH 44135-1203
(216) 941-6725
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 00445
OH
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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