Individual
JUDY R FEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7740 VLEIGH PL, KEW GARDENS HILLS, NY 11367-3360
(718) 591-9093
Mailing address
7748 167TH ST, FLUSHING, NY 11366-1304
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
001955-1
NY
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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