Individual
JESSICA M JUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
600 2ND AVE, NEW GLARUS, WI 53574-9776
(608) 692-8810
Mailing address
1231 HAIN RD, EDGERTON, WI 53534-2045
(608) 692-8810
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
463227
WI
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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