Individual
JUDIE ASTRAUD PEJERO DERIGAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 COUNTRYSIDE BLVD N, PALM HARBOR, FL 34684-4928
(727) 784-2848
Mailing address
1400 NOELL BLVD, PALM HARBOR, FL 34683-5638
(727) 815-6723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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